DR. JACQUELINE D BOUTROUILLE (M.D., P.A.) – Psychiatry Physician, NPI 1447295886
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
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Provider Addresses for DR. JACQUELINE D BOUTROUILLE (M.D., P.A.)
North University Drive, Tamarac, Broward County, Florida, 33321, United States
SUITE 303
TAMARAC, FL 333212124
Phone: (954) 340-3000
Fax: (954) 636-8407
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($58).
Total Amount
$58
General + Research + Ownership
Payments
2
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $58 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051025000241 | I | Psychiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 335 | 86 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 326 | 83 | $0 |
Insurance plans in this area (ZIP 33321)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90792 | Psychiatric diagnostic evaluation with medical services | 36 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MD | |
| Clinical Psychologist | RI | |
| Clinical Psychologist | IL | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Psychologist | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | MD |
Reviews
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