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Active NPI 1578641445 Individual Practitioner Female Practitioner

Michelle C Boudria , NP

Nurse Practitioner • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Michelle Boudria, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Worth, TX. Practice services are available at 1902 WINDSOR PL STE 102 under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1902 Windsor Pl Ste 102

Fort Worth, TX 761101866

Telephone 6822071700
Fax 6822505246
Associated Practice Facility / Clinic
🏢 Fortworth Renal Group Pa Facility NPI 1033560222

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Fort Worth, TX (4894 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
269 268 $83.06 $62.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
208 207 $129.77 $105.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $169.57 $135.07

Medical Specialties & State Licenses

CMS Verified: 2021-03-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP115310

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX 636309

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Lisa Mathew , NP-C

Nurse Practitioner

NPI 1043645476

Nurse Practitioner (Certified)

Dr. Geethanjali Ramamurthy , MD

Internal Medicine - Nephrology

NPI 1093707887

Doctor of Medicine (M.D.)

Dr. Samatha Chandupatla , MD

Internal Medicine - Nephrology

NPI 1114918356

Doctor of Medicine (M.D.)

Dr. Renee Ellis , MD

Internal Medicine - Nephrology

NPI 1134391733

Doctor of Medicine (M.D.)

Dr. Anish Bhakta , DO

Internal Medicine - Nephrology

NPI 1184079865

Doctor of Osteopathic Medicine (D.O.)

Dr. Patrick Nef , MD

Internal Medicine - Nephrology

NPI 1194901330

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 31, 2021

Registered at 1902 WINDSOR PL STE 102, FORT WORTH, TX 761101866 (Tel: 6822071700)

📍
Updated Business Mailing Address March 31, 2021

Registered at 1902 WINDSOR PL STE 102, FORT WORTH, TX 761101866 (Tel: 6822071700)

👤
Provider Name / Credentials Updated March 31, 2021

Recorded as MICHELLE BOUDRIA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Nurse Practitioner (License #AP115310 in TX)

NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2016

Registered at 6331 BOULEVARD 26, STE. 220, NORTH RICHLAND HILLS, TX 761801590 (Tel: 8176280284)

📍
Updated Business Mailing Address July 07, 2016

Registered at 3315 COLORADO BLVD, SUITE 102, DENTON, TX 762106884 (Tel: 9403201708)

👤
Provider Name / Credentials Updated July 07, 2016

Recorded as MICHELLE BOUDRIA, RN NURSEPRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Nurse Practitioner (License #636309 in TX)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578641445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: March 31, 2021
Sole Proprietor: No

Mailing Address

1902 Windsor Pl Ste 102

Fort Worth, TX 761101866

Phone: 6822071700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.