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MRS. KELLEY ELIZABETH SMITH BOUCHARD NP-C
NPI 1376910521
Nurse Practitioner - Family in Colorado Springs, CO

Active since August 24, 2015PECOS EnrolledAccepts Medicare Assignment
3225 INTERNATIONAL CIRCLE SUITE 220, COLORADO SPRINGS, CO 80910(719) 694-8956(719) 418-3578 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelley Elizabeth Smith Bouchard Np-c NPPES

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

MRS. KELLEY ELIZABETH SMITH BOUCHARD NP-C (NPI 1376910521) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (C-APN.0000381-C-NP) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376910521
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLEY ELIZABETH SMITH BOUCHARDCredential: NP-C
Location Address3225 INTERNATIONAL CIRCLE SUITE 220Colorado Springs, CO 80910
Mailing Address3225 International Circle Suite 220Colorado Springs, CO 80910 · (719) 694-8956 · Fax (719) 418-3578
Phone(719) 694-8956
Fax(719) 418-3578
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2015
✔ NPI 1376910521 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 CO · C-APN.0000381-C-NP
3225 INTERNATIONAL CIRCLE SUITE 220, Colorado Springs, CO 80910
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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 Texas, Sendero Health Plans, Local Nonprofit.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

Mrs. Kelley Elizabeth Smith Bouchard Np-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.

PECOS PAC ID2264701424
PECOS Enrollment IDI20170630001172
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80910 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Kelley Bouchard's NPI number?

The NPI number for Kelley Bouchard is 1376910521. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Kelley Bouchard located?

Kelley Bouchard practices at 3225 International Circle Suite 220, Colorado Springs, CO 80910. The listed phone number is (719) 694-8956.

What is Kelley Bouchard's specialty?

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

Is Kelley Bouchard enrolled in Medicare?

Yes. Kelley Bouchard 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 Kelley Bouchard accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Kelley Bouchard 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 Kelley Bouchard was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.