MS. DEITRA FALGOUT LEBOUEF (APRN-BC) – Family Nurse Practitioner, NPI 1508153438
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MS. DEITRA FALGOUT LEBOUEF (APRN-BC)
3501 W 15TH ST.
STE B
PLANO, TX 750757700
Phone: (214) 790-6428
Fax: (214) 785-2938
Type: Mailing
3105 W 15TH ST STE B
PLANO, TX 75075
Phone: (214) 879-0642
Fax: (214) 785-2938
Type: Location
5924 W PARKER RD STE 100
PLANO, TX 750936417
Phone: (972) 697-5954
Fax: (469) 259-2854
Type: Location
6309 N PRESIDENT GEORGE BUSH HWY APT 9202
GARLAND, TX 750445542
Phone: (972) 697-5954
Fax: (469) 259-2854
Type: Mailing
13140 COIT RD STE 405A
DALLAS, TX 752405755
Phone: (214) 272-7829
Fax: (214) 777-9895
Type: Mailing
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: 2011-10-18
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 |
|---|---|---|---|---|
| I20111018000431 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75075)
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