ODILE GRISARD BOUCHER FNP-BC
NPI 1528574126
Nurse Practitioner - Family in Bronx, NY
About Odile Grisard Boucher Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODILE GRISARD BOUCHER FNP-BC (NPI 1528574126) is an individual family provider in Bronx, New York, licensed in New York (F342086-1) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Odile Grisard Boucher Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Odile Grisard Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, NY 10550
- Reassigned Medicare billing, New York enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Odile Grisard Boucher's NPI number?
The NPI number for Odile Grisard Boucher is 1528574126. It was assigned to this individual provider in the NPPES registry on December 18, 2017.
Where is Odile Grisard Boucher located?
Odile Grisard Boucher practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-3080.
What is Odile Grisard Boucher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Odile Grisard Boucher enrolled in Medicare?
Yes. Odile Grisard Boucher is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Odile Grisard Boucher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Odile Grisard Boucher reassigns Medicare benefits to Mount Vernon Neighborhood Health Center Inc (Mount Vernon, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Odile Grisard Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Odile Grisard Boucher was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Odile Grisard Boucher, FNP-BC · NPI 1528574126
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since December 18, 2017.
## Identity
- **NPI:** 1528574126 (Entity type: Individual)
- **Enumerated:** December 18, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F342086-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-3080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mount Vernon Neighborhood Health Center Inc (NPI 1295912541, Mount Vernon, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1528574126) · Data from the CMS NPPES public registry.