MOURIEL DEYANIRA BOUCHER (DO) – Rheumatology Physician, NPI 1972009868

MOURIEL DEYANIRA BOUCHER (DO) is a healthcare provider. based in Hialeah, Florida. specializing in RHEUMATOLOGY. They hold the professional credentials DO. They hold a License No. OS20011 (FL). The NPI Number for MOURIEL DEYANIRA BOUCHER (DO) is 1972009868

Main info

Female
8 Years Of Experience
Name
MOURIEL DEYANIRA BOUCHER (DO)
NPI
1972009868
Phone
Not provided
Address
8934 NW 189TH TER
Enumeration Date
1 April 2018
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9545076634
Graduation Year
2018 (8 years ago)
PAC ID
3072916048
Group Practice PAC ID
7214416320
Professional Enrollment ID
I20230602002739
Address ID
FL330733473CO4400XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

449 RHEUMATOLOGY in FL

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Provider Addresses for MOURIEL DEYANIRA BOUCHER (DO)

  • 8934 NW 189TH TER

    HIALEAH, FL 330186237

    Phone:

    Type: Mailing

  • 202, West 68th Street, Hialeah, Miami-Dade County, Florida, 33014, United States

    HIALEAH, FL 330161801

    Phone: (305) 364-2107

    Type: Location

  • 6280 SUNSET DR STE 501

    SOUTH MIAMI, FL 331434870

    Phone: (305) 671-3447

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 375 Open Payments records for all available years, with a total value of $6,866.

Total Amount is formed as General ($6,866) + Research ($0) + Ownership ($0) = $6,866.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,056).

Total Amount

$6,866

General + Research + Ownership

Payments

375

Total payment records

General Amount

$6,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230602002739IRheumatologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33018)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214416320View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to MOURIEL DEYANIRA BOUCHER (DO)?
NPI 1972009868 is assigned to MOURIEL DEYANIRA BOUCHER (DO) under the national enumeration system.
Is MOURIEL DEYANIRA BOUCHER (DO)'s NPI currently valid?
The extract we use shows MOURIEL DEYANIRA BOUCHER (DO) as active.
What field does MOURIEL DEYANIRA BOUCHER (DO) work in?
You can think of MOURIEL DEYANIRA BOUCHER (DO) as practicing within Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where is MOURIEL DEYANIRA BOUCHER (DO)'s primary listing?
We display Hialeah, Florida because that is what the record indicates for MOURIEL DEYANIRA BOUCHER (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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