ALICIA MASON BOLDUC APRN
NPI 1669020764
Nurse Practitioner in Sarasota, FL
About Alicia Mason Bolduc Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA MASON BOLDUC APRN (NPI 1669020764) is an individual nurse practitioner in Sarasota, Florida, licensed in Florida (APRN11003217) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sarasota.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alicia Mason Bolduc Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alicia Bolduc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cape Coral, FL 33914
- Reassigned Medicare billing, Florida enrollment
- 880 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alicia Bolduc's NPI number?
The NPI number for Alicia Bolduc is 1669020764. It was assigned to this individual provider in the NPPES registry on September 1, 2019.
Where is Alicia Bolduc located?
Alicia Bolduc practices at 1716 Arlington St, Sarasota, FL 34239. The listed phone number is (941) 928-8999.
What is Alicia Bolduc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Alicia Bolduc enrolled in Medicare?
Yes. Alicia Bolduc is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alicia Bolduc's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Bolduc reassigns Medicare benefits to Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). The 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 Alicia Bolduc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alicia Bolduc was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.