Traci C. Boullion, AGNP-C
NPI 1568096279ActiveIndividual· Hospitalist· Daytona Beach, FL
Hospitalist (AGNP-C) with Florida Clinical Practice Association Inc and 1 other group, practicing in Daytona Beach, Florida. Mostly services rather than prescriptions: Medicare paid $822.40 for 11 patients in 2024, with only 44 Part D claims. Lifenet Health reported $32.45 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1568096279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | Yes |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | APRN11034876 | FL |
| Nurse Practitioner | 363L00000X | RN196865 | GA |
| Nurse Practitioner, Primary Care | 363LP2300X | APRN11034876 | FL |
| Nurse Practitioner | 363L00000X | AG02200003 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 12 across 8 procedure codes |
| Paid by Medicare | $822.40 |
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 46 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $456.70 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Florida Clinical Practice Association IncGainesville, FL · 1,924 clinicians
- Vip Specialties of FloridaJacksonville, FL · 28 clinicians
Industry payments (Open Payments)
- 2024$32.45 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lifenet Health | $32.45 | 1 |
What the 2024 payments were for
- Food and Beverage$32.45 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 hospitalists in Daytona Beach · All hospitalists in Florida