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CHARLINE BOUFIN TEBEU PMHNP
NPI 1558022608
Nurse Practitioner - Psychiatric/Mental Health in Davie, FL

Active since December 30, 2021PECOS EnrolledAccepts Medicare Assignment
12535 ORANGE DR STE 605, DAVIE, FL 33330(754) 333-1609(754) 348-4844 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, May 23, 2022, Feb 3, 2022 and 1 more (4 updates tracked since 2021).

About Charline Boufin Tebeu Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLINE BOUFIN TEBEU PMHNP (NPI 1558022608) is an individual psychiatric/mental health provider in Davie, Florida, licensed in Florida (11017056) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558022608
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHARLINE BOUFIN TEBEUCredential: PMHNP
Location Address12535 ORANGE DR STE 605Davie, FL 33330-4307
Mailing Address12535 Orange Dr Ste 605Davie, FL 33330-4307 · (754) 333-1609 · Fax (754) 348-4844
Phone(754) 333-1609
Fax(754) 348-4844
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 30, 2021
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1558022608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · 11017056✔ Licensed in CA · 95028762✔ Licensed in AZ · 279490
12535 ORANGE DR STE 605, Davie, FL 33330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charline Boufin Tebeu Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426437393
PECOS Enrollment IDI20220623001065, I20250722004250
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Charline Boufin Tebeu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmz Behavioral Care
2.7 mi
Psychiatric/Mental Health
1210 SW 118TH TER
Davie, FL 33325
  • Reassigned Medicare billing, Florida enrollment
NPI 1073244745 (786) 357-5140
Grow Healthcare Group PA
22 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona and Florida enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charline Boufin Tebeu's NPI number?

The NPI number for Charline Boufin Tebeu is 1558022608. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Charline Boufin Tebeu located?

Charline Boufin Tebeu practices at 12535 Orange Dr Ste 605, Davie, FL 33330. The listed phone number is (754) 333-1609.

What is Charline Boufin Tebeu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charline Boufin Tebeu enrolled in Medicare?

Yes. Charline Boufin Tebeu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charline Boufin Tebeu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charline Boufin Tebeu reassigns Medicare benefits to 2 organizations: Tmz Behavioral Care (Davie, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charline Boufin Tebeu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charline Boufin Tebeu accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Charline Boufin Tebeu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charline Boufin Tebeu was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.