LEIANE MOORE BOUDREAU ARNP
NPI 1588833958
Nurse Practitioner in Saint Augustine, FL

Q: What is Leiane Boudreau's NPI number?

The NPI number for Leiane Boudreau is 1588833958. It was assigned to this individual provider in the NPPES registry on February 29, 2008. The provider is also known as Leiane C Moore Arnp.

Q: What is Leiane Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Leiane Boudreau was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since February 29, 2008PECOS Enrolled

1301 PLANTATION ISLAND DR S, SUITE 106A, SAINT AUGUSTINE, FL 32080(904) 460-9191(904) 471-4859 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leiane Moore Boudreau Arnp NPPES

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

LEIANE MOORE BOUDREAU ARNP (NPI 1588833958) is an individual nurse practitioner in Saint Augustine, Florida, licensed in Florida (ARNP2514302) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588833958

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLEIANE MOORE BOUDREAUCredential: ARNP

Location Address1301 PLANTATION ISLAND DR S, SUITE 106ASaint Augustine, FL 32080-3108

Mailing Address1301 Plantation Island Dr S, Suite 106aSaint Augustine, FL 32080-3108 · (904) 460-9191 · Fax (904) 471-4859

Phone(904) 460-9191

Fax(904) 471-4859

Sole ProprietorNo

Enumeration DateFebruary 29, 2008

Last NPPES UpdateJanuary 5, 2015

✔ NPI 1588833958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP2514302

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1301 PLANTATION ISLAND DR S, Saint Augustine, FL 32080

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Other Names 1

Professional Name (2)Leiane C Moore Arnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leiane Moore Boudreau Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$277.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MELCHOR G BARROS MD

Family Medicine

1301 PLANTATION ISLAND DR S, 102-B
ST AUGUSTINE, FL 32080

St. Johns County (904) 471-2593

RYAN J PEREIRA DPM

Podiatrist (Foot & Ankle Surgery)

1301 PLANTATION ISLAND DR S, STE 203
ST AUGUSTINE, FL 32080

St. Johns County (904) 461-0821

DR. MIGUEL A MAS JR. MD

Pediatrics

1301 PLANTATION ISLAND DR S, SUITE 404
ST AUGUSTINE, FL 32080

St. Johns County (904) 461-1560

MICHAEL HINES

Hearing Instrument Specialist

1301 PLANTATION ISLAND DR S, SUITE 401B
ST AUGUSTINE, FL 32080

St. Johns County (904) 264-0075

DR. FRANCISCO DIAZ JR. D.M.D.

Dentist (General Practice)

1301 PLANTATION ISLAND DR S, SUITE 104 B
ST AUGUSTINE, FL 32080

St. Johns County (904) 461-5566

MEDICAL PROFESSIONALS OF NORTH FLORIDA

Internal Medicine

1301 PLANTATION ISLAND DR S, SUITE 106A
SAINT AUGUSTINE, FL 32080

St. Johns County (904) 460-9191

SCOTT FORREST CORNEAL DO

Physical Medicine & Rehabilitation (Pain Medicine)

1301 PLANTATION ISLAND DR S, SUITE 402A
ST AUGUSTINE, FL 32080

St. Johns County (904) 471-4744

DR. CARMEN C VIVERO M.D.

Internal Medicine (Addiction Medicine)

1301 PLANTATION ISLAND DR S, SUITE 402-B
ST AUGUSTINE, FL 32080

St. Johns County (904) 460-0707

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 Leiane Boudreau's NPI number?

The NPI number for Leiane Boudreau is 1588833958. It was assigned to this individual provider in the NPPES registry on February 29, 2008. The provider is also known as Leiane C Moore Arnp.

Where is Leiane Boudreau located?

Leiane Boudreau practices at 1301 Plantation Island Dr S Suite 106A, Saint Augustine, FL 32080. The listed phone number is (904) 460-9191.

What is Leiane Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Leiane Boudreau enrolled in Medicare?

Yes. Leiane Boudreau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leiane Boudreau was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.