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MS. MICHELLE LYNNE BOULTON RPA-C
NPI 1336167709
Physician Assistant in Watertown, NY

Active since July 17, 2006PECOS Enrolled
171 E. HOARD STREET, WATERTOWN, NY 13601(315) 786-1767(315) 786-1856 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2020, Nov 7, 2016 (2 updates tracked since 2016).

About Ms. Michelle Lynne Boulton Rpa-c NPPES

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

MS. MICHELLE LYNNE BOULTON RPA-C (NPI 1336167709) is an individual physician assistant in Watertown, New York, licensed in New York (011070-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336167709
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MICHELLE LYNNE BOULTONCredential: RPA-C
Location Address171 E. HOARD STREETWatertown, NY 13601-1515
Mailing Address238 Arsenal StreetWatertown, NY 13601-2504 · (315) 782-9450 · Fax (315) 782-2643
Phone(315) 786-1767
Fax(315) 786-1856
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1336167709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 011070-1
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 011070-1 (NY)
171 E. HOARD STREET, Watertown, NY 13601
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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 (PECOS)

Ms. Michelle Lynne Boulton Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13601 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
98%133 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
21%48 patients1/55-star benchmark: 87%
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.

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 Michelle Boulton's NPI number?

The NPI number for Michelle Boulton is 1336167709. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michelle Boulton located?

Michelle Boulton practices at 171 E. Hoard Street, Watertown, NY 13601. The listed phone number is (315) 786-1767.

What is Michelle Boulton's specialty?

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

Is Michelle Boulton enrolled in Medicare?

Yes. Michelle Boulton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Boulton was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.