MR. JEFFREY W BOULEY FNP-C
NPI 1104440965
Nurse Practitioner - Family in Wakefield, RI
About Mr. Jeffrey W Bouley Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFFREY W BOULEY FNP-C (NPI 1104440965) is an individual family provider in Wakefield, Rhode Island, licensed in Rhode Island (APRN02341) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jeffrey W Bouley Fnp-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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South County Hospital Inc
Acute Care Hospitals · Wakefield, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeffrey Bouley's NPI number?
The NPI number for Jeffrey Bouley is 1104440965. It was assigned to this individual provider in the NPPES registry on June 7, 2020.
Where is Jeffrey Bouley located?
Jeffrey Bouley practices at 1 River St, Wakefield, RI 02879. The listed phone number is (401) 783-0523.
What is Jeffrey Bouley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeffrey Bouley enrolled in Medicare?
Yes. Jeffrey Bouley 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 Jeffrey Bouley affiliated with any hospitals?
According to CMS data, Jeffrey Bouley is affiliated with South County Hospital Inc and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Bouley was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Jeffrey W Bouley, FNP-C · NPI 1104440965
Family physician in Wakefield, Rhode Island. Individual provider, active in the CMS NPPES registry since June 7, 2020.
## Identity
- **NPI:** 1104440965 (Entity type: Individual)
- **Enumerated:** June 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN02341 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 RIVER ST, Wakefield, RI 02879-3214
- **Phone:** (401) 783-0523 · **Fax:** (401) 783-9448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104440965) · Data from the CMS NPPES public registry.