PATRICIA ANNETTE BOUCHER APRN-CNP
NPI 1114873700
Nurse Practitioner - Family in Lawton, OK

Q: What is Patricia Boucher's NPI number?

The NPI number for Patricia Boucher is 1114873700. It was assigned to this individual provider in the NPPES registry on March 6, 2026.

Q: What is Patricia Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Boucher was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 06, 2026PECOS Enrolled

5404 SW LEE BLVD, LAWTON, OK 73505(580) 355-5242 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Patricia Annette Boucher Aprn-cnp NPPES

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

PATRICIA ANNETTE BOUCHER APRN-CNP (NPI 1114873700) is an individual family provider in Lawton, Oklahoma, licensed in Oklahoma (227951) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1114873700

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePATRICIA ANNETTE BOUCHERCredential: APRN-CNP

Location Address5404 SW LEE BLVDLawton, OK 73505-9521

Mailing Address5404 Sw Lee BlvdLawton, OK 73505-9521 · (580) 355-5242

Phone(580) 355-5242

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMarch 6, 2026

NPPES CertifiedMarch 6, 2026

✔ NPI 1114873700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 227951

5404 SW LEE BLVD, Lawton, OK 73505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Annette Boucher Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012477649

PECOS Enrollment IDI20260902004997

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.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comanche County Hospital Authority

Same address

Federally Qualified Health Center (FQHC)

5404 SW LEE BLVD
Lawton, OK 73505

Reassigned Medicare billing, Oklahoma enrollment
80 clinicians in this Medicare group

NPI 1588832869 (580) 355-5242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370056

Location3401 West Gore BlvdLawton, OK 73505 · Comanche County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

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.

DR. PHONG LUU D.O

Family Medicine