FELICIA BOUBIN (AUD) – Audiologist, NPI 1104942002

FELICIA BOUBIN (AUD) is a healthcare provider. based in Dayton, Ohio. specializing in Audiologist. They hold the professional credentials AUD. They hold a License No. A0531 (OH). The NPI Number for FELICIA BOUBIN (AUD) is 1104942002

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
FELICIA BOUBIN (AUD)
NPI
1104942002
Phone
(937) 496-2620
Address
1222 S PATTERSON BLVD
Enumeration Date
22 March 2007
Last Update Date
9 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374962620106
Graduation Year
2004 (22 years ago)
PAC ID
2062580103
Group Practice PAC ID
2163403098
Professional Enrollment ID
I20081002000612
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for FELICIA BOUBIN (AUD)

  • 1222 S PATTERSON BLVD

    STE 400

    DAYTON, OH 454022642

    Phone: (937) 496-2620

    Fax: (937) 424-8518

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-02

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
I20081002000612IQualified AudiologistOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test4343$0
View full utilization report →

Insurance plans in this area (ZIP 45402)

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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: 2163403098View full group profile
NameSpecialtyState
Qualified AudiologistNM
O T O L A R Y N G O L O G YOH
-OH
Qualified AudiologistCT
Nurse PractitionerOH
Qualified Speech Language PathologistOH
Qualified AudiologistOH
Qualified AudiologistOH
Qualified AudiologistOH
O T O L A R Y N G O L O G YOH

Reviews

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Frequently asked questions

Does FELICIA BOUBIN (AUD) have a public NPI I can cite?
Public records show FELICIA BOUBIN (AUD) under NPI 1104942002.
Is FELICIA BOUBIN (AUD)'s NPI status active today?
Active status means FELICIA BOUBIN (AUD)'s NPI record is not deactivated in the public file.
What type of care does FELICIA BOUBIN (AUD) provide?
FELICIA BOUBIN (AUD)'s profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
What city is tied to FELICIA BOUBIN (AUD)?
The directory associates FELICIA BOUBIN (AUD) with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains FELICIA BOUBIN (AUD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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