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JESSIE LYN BOUCHARD MSN, APRN, FNP-C
NPI 1609756469
Nurse Practitioner 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: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

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

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

JESSIE LYN BOUCHARD MSN, APRN, FNP-C (NPI 1609756469) is an individual nurse practitioner 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 a secondary practice location in Providence, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609756469
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSIE LYN BOUCHARDCredential: MSN, APRN, FNP-C
Location Address701 GEORGE WASHINGTON HWY STE 104Lincoln, RI 02865-4299
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 606-8052
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1609756469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN04714
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License APRN04714 (RI)
701 GEORGE WASHINGTON HWY STE 104, Lincoln, RI 02865
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Secondary Practice Location 1

Location 1593 Eddy St, Hasbro Lower LevelProvidence, RI 02903-4923 · Phone (401) 444-6195 · Fax (401) 444-6378

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Lyn 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 with taxonomy code 363L00000X.

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 January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.