Renee Boulicault, M.D.
NPI 1639148422 · Hospitalist Physician · Kingsport, TN
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renee Boulicault, M.D. is a Hospitalist Physician provider in Kingsport, TN (NPI 1639148422).
Provider details
- NPI number
- 1639148422
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4868-320 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1601 E BroadwaySuite 100Columbia, MO 65201-8020Phone: (573) 443-8796Fax: (573) 875-3949
- 3400 E Racine StJanesville, WI 53546-2344Phone: (608) 373-8000Fax: (608) 371-8928
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Renee Boulicault's NPI number?
- Renee Boulicault's National Provider Identifier (NPI) is 1639148422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renee Boulicault's specialty?
- Renee Boulicault is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Renee Boulicault located?
- Renee Boulicault's practice location on file with NPPES is 105 W Park Dr, Kingsport, TN 37660-3805.
- What is Renee Boulicault's phone number?
- The practice phone number listed in the NPPES registry for Renee Boulicault is (423) 224-3220.
- Does Renee Boulicault accept Medicare?
- Renee Boulicault is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Renee Boulicault's NPI active?
- Yes — Renee Boulicault's NPI (1639148422) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.