JOHN BOUDOURIS CNP
NPI 1861039430
Nurse Practitioner in Columbus, OH

Q: What is John Boudouris's NPI number?

The NPI number for John Boudouris is 1861039430. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Q: What is John Boudouris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for John Boudouris was last updated on November 1, 2023. 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.

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment

1560 S HIGH ST, COLUMBUS, OH 43207(614) 274-1455(614) 274-1433 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2023, Mar 14, 2023, Mar 2, 2023 and 2 more (5 updates tracked since 2019).

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About John Boudouris Cnp NPPES

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

JOHN BOUDOURIS CNP (NPI 1861039430) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (APRN.CNP.0027959) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861039430

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOHN BOUDOURISCredential: CNP

Location Address1560 S HIGH STColumbus, OH 43207-1803

Mailing Address1160 W Broad StColumbus, OH 43222-1352

Phone(614) 274-1455

Fax(614) 274-1433

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 3, 2019

Last NPPES UpdateNovember 1, 20235 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1861039430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0027959

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.461770 (OH)

1560 S HIGH ST, Columbus, OH 43207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Boudouris Cnp 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 ID4880072966

PECOS Enrollment IDI20220601001969

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43207 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

ASHLEY DEGUTIS NP

Nurse Practitioner (Family)