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TRACI C BOULLION AGNP-C
NPI 1568096279
Hospitalist in Daytona Beach, FL

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 241-1020(386) 241-1022 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Nov 14, 2024, Jun 1, 2021 and 1 more (4 updates tracked since 2020).

About Traci C Boullion Agnp-c NPPES

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

TRACI C BOULLION AGNP-C (NPI 1568096279) is an individual hospitalist provider in Daytona Beach, Florida, licensed in Florida (APRN11034876) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568096279
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameTRACI C BOULLIONCredential: AGNP-C
Location Address311 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2781
Mailing Address311 N Clyde Morris BlvdDaytona Beach, FL 32114-2781 · (386) 241-1020 · Fax (386) 241-1022
Phone(386) 241-1020
Fax(386) 241-1022
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 3, 2020
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1568096279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · APRN11034876
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN196865 (GA), AG02200003 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN11034876 (FL)
311 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1127 Santolina ParkPeachtree City, GA 30269-3245 · Phone (564) 389-8282
Location 255 Whitcher St NE Ste 130Marietta, GA 30060-1156 · Phone (770) 428-0462 · Fax (770) 427-8001

Other Identifiers 1

Medicaid124409700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci C Boullion Agnp-c 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 ID2466869771
PECOS Enrollment IDI20241205004247
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. J PATRICK KERR CRNA
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266
DR. BENNETT PETER SCAGLIA M.D.
Urology
311 N CLYDE MORRIS BLVD, SUITE 360
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4199
MS. KIMBERLY KAY KOEVENIG RD, LD/N, CDE
Dietitian, Registered
311 N CLYDE MORRIS BLVD, SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
DAYTONA BEACH, FL 32114
Volusia County (386) 258-4829
HALIFAX HEALTHCARE SYSTEMS, INC
Neurological Surgery
311 N CLYDE MORRIS BLVD, SUITE 550
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
CLAYTON T SAXOUR CRNA
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266
PATRICIA GONZALEZ
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
BRENDA L. HART FNP-C, CRNP, CWON
Nurse Practitioner (Family)
311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 425-4267
DAVID SCHULTZ DO
Anesthesiology
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266

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 Traci Boullion's NPI number?

The NPI number for Traci Boullion is 1568096279. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Traci Boullion located?

Traci Boullion practices at 311 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 241-1020.

What is Traci Boullion's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Traci Boullion enrolled in Medicare?

Yes. Traci Boullion 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.

What insurance does Traci Boullion accept?

Health plans from AvMed list Traci Boullion 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.

Is Traci Boullion affiliated with any hospitals?

According to CMS data, Traci Boullion is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Traci Boullion was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.