MRS. ANNIE LAURIE LEBOUTON
NPI 1831636026
Nurse Anesthetist, Certified Registered in Charlotte, NC

Active since January 25, 2017Accepts Medicare Assignment
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 491-1924 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2021, Oct 28, 2020, Jan 25, 2017 (3 updates tracked since 2017).

About Mrs. Annie Laurie Lebouton NPPES

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

MRS. ANNIE LAURIE LEBOUTON (NPI 1831636026) is an individual nurse anesthetist, certified registered in Charlotte, North Carolina, licensed in North Carolina (113614) and active in the NPI registry since January 2017. She is affiliated with Novant Health Presbyterian Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831636026
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. ANNIE LAURIE LEBOUTON
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing Address1415 Main StCharlotte, NC 28204-3145 · (225) 281-7429
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 25, 2017
Last NPPES UpdateOctober 14, 20213 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1831636026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 113614
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 HAWTHORNE LN, Charlotte, NC 28204

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

Mrs. Annie Laurie Lebouton 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 ID9436435351
PECOS Enrollment IDI20170407000991

Medicare Billing Reassignments

14

Medicare enrollment records show Annie Lebouton reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Medicine
200 HAWTHORNE LN
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
6035 FAIRVIEW RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 113 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 649 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14215 BALLANTYNE CORPORATE PL STE 210
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10905 PROVIDENCE RD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 422 clinicians in this Medicare group
Ambulatory Surgical
10030 GILEAD ROAD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 545 clinicians in this Medicare group
Neurology
612 MOCKSVILLE AVE.
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Internal Medicine
7144 VILLAGE MEDICAL CIR
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204

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 Annie Lebouton's NPI number?

The NPI number for Annie Lebouton is 1831636026. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Annie Lebouton located?

Annie Lebouton practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 491-1924.

What is Annie Lebouton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Annie Lebouton enrolled in Medicare?

Yes. Annie Lebouton 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 Annie Lebouton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Lebouton reassigns Medicare benefits to 14 organizations: The Presbyterian Hospital (Charlotte, NC), Nmg Southpark Services, LLC (Charlotte, NC), Novant Health Matthews Medical Center LLC (Matthews, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC), Presbyterian Sameday Surgery Center At Ballantyne LLC (Charlotte, NC) and 9 more organizations, 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 Annie Lebouton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Annie Lebouton affiliated with any hospitals?

According to CMS data, Annie Lebouton is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Annie Lebouton was last updated on October 14, 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.