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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSIE L BOUCHARD MSN, APRN, FNP-C
NPI 1609756469
Nurse Practitioner - Family in Lincoln, RI

Active since September 03, 2025PECOS Enrolled
701 GEORGE WASHINGTON HWY STE 104, LINCOLN, RI 02865(401) 606-8052 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Jessie L Bouchard Msn, Aprn, Fnp-c NPPES

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

JESSIE L BOUCHARD MSN, APRN, FNP-C (NPI 1609756469) is an individual family provider in Lincoln, Rhode Island, licensed in Rhode Island (APRN04714) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609756469
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSIE L BOUCHARDCredential: MSN, APRN, FNP-C
Location Address701 GEORGE WASHINGTON HWY STE 104Lincoln, RI 02865-4299
Mailing Address455 Toll Gate Road, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 606-8052
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2025
Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1609756469 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 RI · APRN04714
701 GEORGE WASHINGTON HWY STE 104, Lincoln, RI 02865
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1593 Eddy St, Hasbro Lower LevelProvidence, RI 02903-4923 · Phone (401) 444-6195 · Fax (401) 444-6378
Location 2101 Dudley StreetProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7571

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie L Bouchard Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052802410
PECOS Enrollment IDI20251113000649
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessie Bouchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc
5.8 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799
Rhode Island Hospital
8.6 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

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 02865 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRERANA BARANWAL
Pediatrics (Pediatric Gastroenterology)
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052
DR. SHAWN BINNS M.D.
Pediatrics
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052
DR. VASUPRADHA SURESH KUMAR MD
Pediatrics (Pediatric Cardiology)
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052

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 Jessie Bouchard's NPI number?

The NPI number for Jessie Bouchard is 1609756469. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Jessie Bouchard located?

Jessie Bouchard practices at 701 George Washington Hwy Ste 104, Lincoln, RI 02865. The listed phone number is (401) 606-8052.

What is Jessie Bouchard's specialty?

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

Is Jessie Bouchard enrolled in Medicare?

Yes. Jessie Bouchard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessie Bouchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Bouchard reassigns Medicare benefits to 2 organizations: Lifespan Physician Group Inc (Providence, RI) and Rhode Island Hospital (Providence, RI). Each 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 Jessie Bouchard'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 Jessie Bouchard was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.