JACQUES BOUCAL NURSE PRACTITIONER
NPI 1366156986
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN

Q: What is Jacques Boucal's NPI number?

The NPI number for Jacques Boucal is 1366156986. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Jacques Boucal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacques Boucal was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment

3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3307 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacques Boucal Nurse Practitioner NPPES

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

JACQUES BOUCAL NURSE PRACTITIONER (NPI 1366156986) is an individual psychiatric/mental health provider in St Louis Park, Minnesota, licensed in Minnesota (9848) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366156986

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUES BOUCALCredential: NURSE PRACTITIONER

Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527

Mailing Address3691 Falcon WayEagan, MN 55123-2227 · (651) 226-5523

Phone(952) 993-3307

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 9, 2023

✔ NPI 1366156986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 9848

3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Jacques Boucal Nurse Practitioner 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 ID5395118830

PECOS Enrollment IDI20230302001742

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

PETER MCCORMICK SCHAUB PSYD, LP

Psychologist

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3123

DAVID J NUTZ MD

Physical Medicine & Rehabilitation

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3800

GLENN MATFIN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416

Hennepin County (952) 993-3048

KELLY C GRECO PAC

Physician Assistant

3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3260

KARLA SUSAN ROSENMAN MD

Dermatology

3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3821

DR. KRISTIN A KUNZMAN PSY.D.

Psychologist (Clinical)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3393

DR. ALISON M LANG M.D.

Dermatology

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3789

DR. CHUNG M LEE M.D.

Radiology (Diagnostic Radiology)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3212

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 Jacques Boucal's NPI number?

The NPI number for Jacques Boucal is 1366156986. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Jacques Boucal located?

Jacques Boucal practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3307.

What is Jacques Boucal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacques Boucal enrolled in Medicare?

Yes. Jacques Boucal 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.

What insurance does Jacques Boucal accept?

Health plans from HealthPartners list Jacques Boucal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacques Boucal was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.