DOUGLAS ALLEN BOULDIN (FNP-C) – Nurse Practitioner, NPI 1770568727

DOUGLAS ALLEN BOULDIN (FNP-C) is a healthcare provider. based in Chesterfield, Missouri. specializing in Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 113431 (MO). The NPI Number for DOUGLAS ALLEN BOULDIN (FNP-C) is 1770568727

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS ALLEN BOULDIN (FNP-C)
NPI
1770568727
Phone
(636) 473-8873
Address
13353 OLIVE BLVD
Enumeration Date
13 December 2005
Last Update Date
16 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3142004955
Graduation Year
1998 (28 years ago)
PAC ID
4880693936
Group Practice PAC ID
8426348418
Professional Enrollment ID
I20061219000100
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DOUGLAS ALLEN BOULDIN (FNP-C)

  • 13353, Olive Boulevard, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630173108

    Phone: (636) 473-8873

    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 $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-07-13 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($118).

Total Amount

$118

General + Research + Ownership

Payments

2

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fidia Pharma USA Inc.$118
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63017)

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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: 8426348418View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DOUGLAS ALLEN BOULDIN (FNP-C)?
NPI 1770568727 is assigned to DOUGLAS ALLEN BOULDIN (FNP-C) under the national enumeration system.
Does this profile mean DOUGLAS ALLEN BOULDIN (FNP-C) is currently active?
Yes — DOUGLAS ALLEN BOULDIN (FNP-C) appears active in the national provider directory.
What does DOUGLAS ALLEN BOULDIN (FNP-C) treat or focus on?
Patients typically see DOUGLAS ALLEN BOULDIN (FNP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for DOUGLAS ALLEN BOULDIN (FNP-C)?
We surface Chesterfield, Missouri for DOUGLAS ALLEN BOULDIN (FNP-C) based on available NPPES addresses.
How can I contact DOUGLAS ALLEN BOULDIN (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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