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MISS ANNE ROSETTE BOUELE MBOULE M.D.
NPI 1700084555
Pediatrics in Arlington, TX

Active since July 03, 2007PECOS Enrolled
2301 N COLLINS ST, SUITE 100, ARLINGTON, TX 76011(817) 704-7339(682) 558-8008 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Anne Rosette Bouele Mboule M.d. NPPES

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

MISS ANNE ROSETTE BOUELE MBOULE M.D. (NPI 1700084555) is an individual pediatrics provider in Arlington, Texas, licensed in Texas (P6342) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700084555
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMISS ANNE ROSETTE BOUELE MBOULECredential: M.D.
Location Address2301 N COLLINS ST, SUITE 100Arlington, TX 76011-2659
Mailing Address2301 N Collins St, Suite 100Arlington, TX 76011-2659 · (817) 704-7339 · Fax (682) 558-8008
Phone(817) 704-7339
Fax(682) 558-8008
Sole ProprietorYes
Enumeration DateJuly 3, 2007
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1700084555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · P6342✔ Licensed in AL · 29656
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2301 N COLLINS ST, Arlington, TX 76011
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Other Identifiers 3

Medicaid116029AL
Medicaid218565403TX
Medicaid218565401TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Anne Rosette Bouele Mboule M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anne Bouele Mboule reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
882 mi
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1316416035 (715) 858-8100
Marshfield Clinic Inc
900 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 76011 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILEY DENTAL-COLLINS
Dentist (General Practice)
2301 N COLLINS ST, STE 230
ARLINGTON, TX 76011
Tarrant County (214) 718-7880
NETWORK PROVIDER ASSOCIATES
Dentist (General Practice)
2301 N COLLINS ST, SUITE 230
ARLINGTON, TX 76011
Tarrant County (817) 265-1518
DR. FARIDA ALI O.D.
Optometrist
2301 N COLLINS ST, # 124
ARLINGTON, TX 76011
Tarrant County (817) 860-9050
MATTEA ENT., P.A.
Chiropractor
2301 N COLLINS ST
ARLINGTON, TX 76011
Tarrant County (817) 281-9040
GAYLE A, KARANGES O.D. , P.A.
Optometrist
2301 N COLLINS ST, SUITE #124
ARLINGTON, TX 76011
Tarrant County (817) 860-9050

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 Anne Bouele Mboule's NPI number?

The NPI number for Anne Bouele Mboule is 1700084555. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Anne Bouele Mboule located?

Anne Bouele Mboule practices at 2301 N Collins St Suite 100, Arlington, TX 76011. The listed phone number is (817) 704-7339.

What is Anne Bouele Mboule's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anne Bouele Mboule enrolled in Medicare?

Yes. Anne Bouele Mboule is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anne Bouele Mboule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Bouele Mboule reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Eau Claire, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Anne Bouele Mboule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anne Bouele Mboule accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Anne Bouele Mboule 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 Anne Bouele Mboule was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.