1. Home
  2. Directory
  3. Massachusetts
  4. Southbridge
  5. Physician Assistant
  6. NPI Profile

MADISON BOULAY PA-C
NPI 1053253666
Physician Assistant in Southbridge, MA

Active since April 06, 2026PECOS Enrolled
100 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 765-3195 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Madison Boulay Pa-c NPPES

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

MADISON BOULAY PA-C (NPI 1053253666) is an individual physician assistant in Southbridge, Massachusetts and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1053253666
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON BOULAYCredential: PA-C
Location Address100 SOUTH STSouthbridge, MA 01550-4051
Mailing Address100 South StSouthbridge, MA 01550-4051 · (508) 769-5423
Phone(508) 765-3195
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 6, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1053253666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 SOUTH ST, Southbridge, MA 01550
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Boulay Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870064926
PECOS Enrollment IDI20260609002976
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

EDWARD YE PA-C
Physician Assistant (Medical)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. KRISHNAVENI SIRIGADDI MD
Internal Medicine
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. CARL JOHN VANDERPUTTEN DO
Emergency Medicine
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. MARSHA KAY FEARING MD, MPH, MMSC.
Pediatrics
100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-7860
MR. DOMINIC IDOKO MA
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
STEPHANIE RUIZ-GONZALEZ CRNA
Nurse Anesthetist, Certified Registered
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 909-7799
MARY E FRISELLA MD
Internal Medicine (Cardiovascular Disease)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
TAMMY JOHNSON
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771

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 Madison Boulay's NPI number?

The NPI number for Madison Boulay is 1053253666. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Madison Boulay located?

Madison Boulay practices at 100 South St, Southbridge, MA 01550. The listed phone number is (508) 765-3195.

What is Madison Boulay's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Boulay enrolled in Medicare?

Yes. Madison Boulay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Boulay was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.