Individual provider Active NPI

Susan M Lebouef, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1386046167
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11382 Issued in AZ
Practice address
6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone
(520) 733-2250
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN118990 AZ
Family Nurse Practitioner 363LF0000X AP11382 AZ Primary

Addresses

Primary practice location

6390 E Broadway Blvd
Tucson, AZ 85710-3517

Mailing address

2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824002982 AZ Practitioner - Nurse Practitioner 9739438672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality of Life Medical Centers LLCGroup PAC ID 8820988348, 12 clinicians

Practice addresses (Care Compare)

6390 E Broadway Blvd
Tucson, AZ 85710-3517
Phone (520) 733-2250

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Nov 1, 2023 Accepting new patients
Brian S Page DO LLC CurrentSince Nov 1, 2023 Accepting new patients
Quality of Life Medical Centers, LLC CurrentSince Jun 10, 2024 Accepting new patients
Solace Behavioral Health LLC PastSince Dec 1, 2020 Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

6390 E Broadway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 284-7949

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

6560 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 298-0448

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949

Interoperability endpoints

  • Direct secure messaging: susan.lebouef.1@32508.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1386046167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301525",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103517",
            "telephone_number": "520-733-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOUEF",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN118990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.