LISGRACE D BOUCUGNANI
NPI 1770354912
Nurse Practitioner - Family in Hialeah, FL
About Lisgrace D Boucugnani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISGRACE D BOUCUGNANI (NPI 1770354912) is an individual family provider in Hialeah, Florida, licensed in Florida (11030577) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisgrace D Boucugnani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIALEAH, FL 33012
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 Lisgrace Boucugnani's NPI number?
The NPI number for Lisgrace Boucugnani is 1770354912. It was assigned to this individual provider in the NPPES registry on January 15, 2024.
Where is Lisgrace Boucugnani located?
Lisgrace Boucugnani practices at 4440 W 16th Ave, Hialeah, FL 33012. The listed phone number is (786) 298-5037.
What is Lisgrace Boucugnani's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisgrace Boucugnani enrolled in Medicare?
Yes. Lisgrace Boucugnani is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisgrace Boucugnani was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Lisgrace D Boucugnani · NPI 1770354912
Family physician in Hialeah, Florida. Individual provider, active in the CMS NPPES registry since January 15, 2024.
## Identity
- **NPI:** 1770354912 (Entity type: Individual)
- **Enumerated:** January 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11030577 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4440 W 16TH AVE, Hialeah, FL 33012-7821
- **Phone:** (786) 298-5037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770354912) · Data from the CMS NPPES public registry.