DAVID BOUCHER AGNP-C
NPI 1629750849
Nurse Practitioner - Primary Care in Baltimore, MD
About David Boucher Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID BOUCHER AGNP-C (NPI 1629750849) is an individual primary care provider in Baltimore, Maryland, licensed in Maryland (R235416) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
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 and accepts Medicare assignment
David Boucher Agnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show David Boucher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Maryland enrollment
- 107 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21224 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21224
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 David Boucher's NPI number?
The NPI number for David Boucher is 1629750849. It was assigned to this individual provider in the NPPES registry on August 7, 2023.
Where is David Boucher located?
David Boucher practices at 2801 Foster Ave, Baltimore, MD 21224. The listed phone number is (410) 342-0333.
What is David Boucher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is David Boucher enrolled in Medicare?
Yes. David Boucher 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.
Which organizations bill Medicare for David Boucher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Boucher reassigns Medicare benefits to 2 organizations: Maryland Family Care, Inc. (Baltimore, MD) and Seton Medical Group, Inc (Columbia, MD). 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 David 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 David Boucher was last updated on February 9, 2024. 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.
# David Boucher, AGNP-C · NPI 1629750849
Primary Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1629750849 (Entity type: Individual)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R235416 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 FOSTER AVE, Baltimore, MD 21224-3865
- **Phone:** (410) 342-0333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD); Seton Medical Group, Inc (NPI 1144409194, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629750849) · Data from the CMS NPPES public registry.