Active NPI
Mouriel Deyanira Boucher, DO
- Rheumatology Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS20011
- Practice address
- 4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473 - Phone
- (561) 421-4500
- Fax
- (561) 440-3280
- NPI assigned
- Apr 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | OS20011 | FL | Primary |
Addresses
Primary practice location
4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473
Mailing address
4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473
Phone (561) 421-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4400 W Sample Rd
Suite 236
Coconut Creek, FL 33073-3473
Phone (954) 507-6634
6280 Sunset Dr
Suite 501
South Miami, FL 33143-4870
Phone (305) 671-3447
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20011 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatic Wellness Institute | Rheumatology | Current | Accepting new patients |
| Premier Rheumatology, PLLC | Rheumatology | Current | Accepting new patients |
| American Arthritis & Rheumatology Associates LLC | Rheumatology | Current | Accepting new patients |
Locations
2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101
2900 N Military Trl
Ste 230
Boca Raton, FL 33431
Phone (561) 859-3109
1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631
4400 W Sample Rd
Ste 236
Coconut Creek, FL 33073
Phone (954) 507-6634
20880 W Dixie Hwy
Ste 101
Miami, FL 33180
Phone (305) 682-1441
6280 Sunset Dr
Ste 501
South Miami, FL 33143
Phone (305) 666-1352
Interoperability endpoints
- mouriel.boucher.p31@direct.aara1.nextgenshare.com
- mboucher1034347@direct.hopkinsmedicine.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Coconut Creek, FL
- NPI 1770443871
-
- Rheumatology Physician
- Jupiter, FL
- NPI 1598205072
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1972009868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 236",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733473",
"telephone_number": "561-421-4500",
"fax_number": "561-440-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 236",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733473",
"telephone_number": "561-421-4500",
"fax_number": "561-440-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHER",
"first_name": "MOURIEL",
"middle_name": "DEYANIRA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-01",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "OS20011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
- Susan Jone Bloom, PSY. D., APNP
- Bofshever Wellness Center LLC
- Harley J Bofshever, DC
- Teresa Marie Boland, ARNP, FAARM, LMFT
- Book Your Nurse Medical Services, LLC (Book Your Nurse Medical Appointment Services / companion.)
- Kristi Bouras, PHARMD
- Kelsey Brannock, MPS, ATR-P
- Brcastrong Corp
- Brenda Okyn
- Sherell Breus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.