MRS. JESSICA FAYE BOUCHARD RPA-C
NPI 1023247608
Physician Assistant - Medical in Fayetteville, NY

Q: What is Jessica Bouchard's NPI number?

The NPI number for Jessica Bouchard is 1023247608. It was assigned to this individual provider in the NPPES registry on July 5, 2009.

Q: What is Jessica Bouchard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Bouchard was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2009PECOS EnrolledAccepts Medicare Assignment

96.37/100

CMS Quality Rating

4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 663-0100(315) 663-0052 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jessica Faye Bouchard Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA FAYE BOUCHARD RPA-C (NPI 1023247608) is an individual medical provider in Fayetteville, New York, licensed in New York (013312-1) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1023247608

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JESSICA FAYE BOUCHARDCredential: RPA-C

Location Address4110 MEDICAL CENTER DRFayetteville, NY 13066-6613

Mailing Address4110 Medical Center DrFayetteville, NY 13066-6613 · (315) 663-0100

Phone(315) 663-0100

Fax(315) 663-0052

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009

Enumeration DateJuly 5, 2009

Last NPPES UpdateNovember 25, 2014

✔ NPI 1023247608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 013312-1

4110 MEDICAL CENTER DR, Fayetteville, NY 13066

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Faye Bouchard Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698094423

PECOS Enrollment IDI20150429001667

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,316 services205 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

586 services448 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

338 services260 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

215 services158 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

183 services163 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

160 services134 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

137 services88 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

108 services93 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

89 services85 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

80 services63 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

73 services68 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

51 services38 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

38 services34 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

29 services13 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

26 services26 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

19 services13 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

17 services15 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

14 services14 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.74

Improvement Activities

Reported Quality Measures

Advance Care Plan

72%1,323 patients3/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%190 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 74% · 1,020 patients

Patients screened: 76% · 1,020 patients

53%43 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIN FAZELI MD

Dermatology

4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

DR. FAZELI & DR. BROUMAND LLC

Dermatology

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

MELISSA ROE PA

Physician Assistant

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

VADJISTA BROUMAND MD

Internal Medicine

4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

MS. KATEY WALDON NP

Nurse Practitioner (Family)

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

RACHEL MARIE DAMON RPA-C

Physician Assistant

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

CHRISTINE SHAFFER NP

Nurse Practitioner (Family)

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

MEGHAN L DORAN

Nurse Practitioner (Family)

4110 MEDICAL CENTER DR, SUITE 100
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bouchard's NPI number?

The NPI number for Jessica Bouchard is 1023247608. It was assigned to this individual provider in the NPPES registry on July 5, 2009.

Where is Jessica Bouchard located?

Jessica Bouchard practices at 4110 Medical Center Dr, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Jessica Bouchard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Bouchard enrolled in Medicare?

Yes. Jessica Bouchard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Bouchard affiliated with any hospitals?

According to CMS data, Jessica Bouchard is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Bouchard was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.