ALYCIA BUFORD BOUDREAU FNP-C
NPI 1649837352
Nurse Practitioner - Family in Lutz, FL
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Alycia Boudreau reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33606
- Reassigned Medicare billing, Florida enrollment
- 1,130 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Florida enrollment
- 89 clinicians in this Medicare group
Shenandoah, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 1,278 clinicians in this Medicare group
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 219 clinicians in this Medicare group
Mesa, AZ 85202
- Reassigned Medicare billing, Arizona enrollment
- 447 clinicians in this Medicare group
Spokane Valley, WA 99037
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
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, FLAscension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INPhysician 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.
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.
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.
Which organizations bill Medicare for Alycia Boudreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alycia Boudreau reassigns Medicare benefits to 6 organizations: Mori Bean And Brooks Inc (Tampa, FL), Radiology Alliance PC (Nashville, TN), Singleton Associates PA (Shenandoah, TX), Imaging Associates Of Indiana, PC (Indianapolis, IN), Sonoran Radiology Ltd (Mesa, AZ) and 1 more organization, listed in the Medicare section above. 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 Alycia Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alycia Boudreau accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Insurance Company and 1 other insurer 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 and Ascension St Vincent Hospital.
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.
# Alycia Buford Boudreau, FNP-C · NPI 1649837352
Family physician in Lutz, Florida. Individual provider, active in the CMS NPPES registry since May 29, 2019.
## Identity
- **NPI:** 1649837352 (Entity type: Individual)
- **Enumerated:** May 29, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11002140 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19605 MORDEN BLUSH DR, Lutz, FL 33558-9087
- **Phone:** (813) 433-3929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mori Bean And Brooks Inc (NPI 1093782070, Tampa, FL); Radiology Alliance PC (NPI 1861478489, Nashville, TN); Singleton Associates PA (NPI 1487811766, Shenandoah, TX); Imaging Associates Of Indiana, PC (NPI 1699072611, Indianapolis, IN); Sonoran Radiology Ltd (NPI 1033745708, Mesa, AZ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1649837352) · Data from the CMS NPPES public registry.