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ALYCIA BUFORD BOUDREAU FNP-C
NPI 1649837352
Nurse Practitioner - Family in Lutz, FL

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
19605 MORDEN BLUSH DR, LUTZ, FL 33558(813) 433-3929 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, May 29, 2019 (2 updates tracked since 2019).

About Alycia Buford Boudreau Fnp-c NPPES

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

ALYCIA BUFORD BOUDREAU FNP-C (NPI 1649837352) is an individual family provider in Lutz, Florida, licensed in Florida (11002140) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Oak Hill Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649837352
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYCIA BUFORD BOUDREAUCredential: FNP-C
Location Address19605 MORDEN BLUSH DRLutz, FL 33558-9087
Mailing Address19605 Morden Blush DrLutz, FL 33558-9087 · (813) 433-3929
Phone(813) 433-3929
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 29, 2019
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
✔ NPI 1649837352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11002140
19605 MORDEN BLUSH DR, Lutz, FL 33558
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska and more.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

Alycia Buford Boudreau Fnp-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 ID42649923
PECOS Enrollment IDI20200327000755
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 4

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

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33558 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.

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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Improvement Activities40

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 Alycia Boudreau's NPI number?

The NPI number for Alycia Boudreau is 1649837352. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Alycia Boudreau located?

Alycia Boudreau practices at 19605 Morden Blush Dr, Lutz, FL 33558. The listed phone number is (813) 433-3929.

What is Alycia Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alycia Boudreau enrolled in Medicare?

Yes. Alycia Boudreau 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 Alycia Boudreau accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alycia Boudreau 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 Alycia Boudreau affiliated with any hospitals?

According to CMS data, Alycia Boudreau is affiliated with Hca Florida Oak Hill Hospital, Ascension St Vincent Kokomo, Ascension St Vincent Hospital and Ascension St Vincent Anderson.

When was this NPI record last updated?

The NPPES record for Alycia Boudreau was last updated on January 28, 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.