MICHELLE C BOUDRIA (NP) – Nurse Practitioner, NPI 1578641445
Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHELLE C BOUDRIA (NP)
1902 WINDSOR PL STE 102
FORT WORTH, TX 761101866
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
3315, Colorado Boulevard, The Ridge at North Texas, Carter, Denton, Denton County, Texas, 76210, United States
SUITE 102
DENTON, TX 762106884
Phone: (940) 320-1708
Fax: (940) 565-5457
Type: Mailing
6331, Boulevard 26, Haltom City, Tarrant County, Texas, 76180, United States
STE. 220
NORTH RICHLAND HILLS, TX 761801590
Phone: (817) 628-0284
Fax: (817) 628-0288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Horizon Therapeutics plc ($139).
Total Amount
$186
General + Research + Ownership
Payments
7
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $139 |
| Ascendis Pharma Inc | $29 |
| GlaxoSmithKline, LLC. | $19 |
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: 2023-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070226000713 | I | Nurse Practitioner | TX | TBD |
| I20230628002442 | I | Nurse Practitioner | OK | TBD |
| I20231101000853 | I | Nurse Practitioner | NM | TBD |
| I20231106003430 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 118 | 118 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 113 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 76110)
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