SAMANTHA BOUCHER PA-C
NPI 1518479641
Physician Assistant in Nashville, TN

Q: What is Samantha Boucher's NPI number?

The NPI number for Samantha Boucher is 1518479641. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Q: What is Samantha Boucher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Boucher was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 30, 2017PECOS Enrolled

75/100

CMS Quality Rating

8 CITY BLVD STE 300, NASHVILLE, TN 37209(615) 329-6600(615) 321-6226 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Apr 21, 2020, Sep 6, 2018 and 1 more (4 updates tracked since 2017).

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About Samantha Boucher Pa-c NPPES

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

SAMANTHA BOUCHER PA-C (NPI 1518479641) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (3422) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518479641

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA BOUCHERCredential: PA-C

Location Address8 CITY BLVD STE 300Nashville, TN 37209-2560

Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (615) 329-2294 · Fax (615) 695-1494

Phone(615) 329-6600

Fax(615) 321-6226

Sole ProprietorNo

Enumeration DateOctober 30, 2017

Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1518479641 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 TN · 3422

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.

8 CITY BLVD STE 300, Nashville, TN 37209

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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)

Samantha Boucher Pa-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 37209 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

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