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FADY BOULES
NPI 1639541022
Nurse Practitioner - Psychiatric/Mental Health in Fresno, CA

Active since October 23, 2015PECOS EnrolledAccepts Medicare Assignment
2002 N FINE AVE UNIT 101, FRESNO, CA 93727(951) 722-0801 Get Directions Write a Review

NPPES record last updated: March 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2019, Oct 17, 2019, Oct 9, 2019 and 4 more (7 updates tracked since 2016).

About Fady Boules NPPES

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

FADY BOULES (NPI 1639541022) is an individual psychiatric/mental health provider in Fresno, California, licensed in California (95003306) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639541022
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFADY BOULES
Location Address2002 N FINE AVE UNIT 101Fresno, CA 93727-1511
Mailing Address18672 Florida St Ste 201cHuntington Beach, CA 92648-6088 · (951) 268-0745
Phone(951) 722-0801
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 23, 2015
Last NPPES UpdateMarch 1, 20207 updates tracked since enumeration
NPPES CertifiedMarch 1, 2020
✔ NPI 1639541022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95003306
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95003306 (CA)
2002 N FINE AVE UNIT 101, Fresno, CA 93727
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Other Identifiers 1

OtherD4304887CA · Driver Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Fady Boules 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 ID8527356773
PECOS Enrollment IDI20161004002021
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
621 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
194 services92 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93727 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 Fady Boules's NPI number?

The NPI number for Fady Boules is 1639541022. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Fady Boules located?

Fady Boules practices at 2002 N Fine Ave Unit 101, Fresno, CA 93727. The listed phone number is (951) 722-0801.

What is Fady Boules's specialty?

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

Is Fady Boules enrolled in Medicare?

Yes. Fady Boules 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 Fady Boules accept?

Health plans from Providence Health Plan list Fady Boules 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 Fady Boules was last updated on March 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.