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SOPHIE A BOUDETTE PA
NPI 1275367211
Physician Assistant in Boston, MA

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST STE B & C, BOSTON, MA 02118(617) 414-4290(617) 414-6031 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Oct 11, 2024 (2 updates tracked since 2024).

About Sophie A Boudette Pa NPPES

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

SOPHIE A BOUDETTE PA (NPI 1275367211) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA101028) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275367211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIE A BOUDETTECredential: PA
Location Address725 ALBANY ST STE B & CBoston, MA 02118-2526
Mailing Address690 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Phone(617) 414-4290
Fax(617) 414-6031
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2024
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1275367211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA101028
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.
725 ALBANY ST STE B & C, Boston, MA 02118
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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

Sophie A Boudette Pa 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 ID7012441074
PECOS Enrollment IDI20241113001774
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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Sophie Boudette's NPI number?

The NPI number for Sophie Boudette is 1275367211. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Sophie Boudette located?

Sophie Boudette practices at 725 Albany St Ste B & C, Boston, MA 02118. The listed phone number is (617) 414-4290.

What is Sophie Boudette's specialty?

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

Is Sophie Boudette enrolled in Medicare?

Yes. Sophie Boudette 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 Sophie Boudette affiliated with any hospitals?

According to CMS data, Sophie Boudette is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Sophie Boudette was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.