MR. JEROME BOUIE RN,BSN.CCRN
NPI 1639523871
Registered Nurse in Tacoma, WA

Q: What is Jerome Bouie's NPI number?

The NPI number for Jerome Bouie is 1639523871. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Jerome Bouie's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Bouie was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 13, 2016PECOS Enrolled

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431(512) 689-5719 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Jerome Bouie Rn,bsn.ccrn NPPES

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

MR. JEROME BOUIE RN,BSN.CCRN (NPI 1639523871) is an individual registered nurse in Tacoma, Washington, licensed in Washington (RN 60544953) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639523871

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameMR. JEROME BOUIECredential: RN,BSN.CCRN

Location AddressMADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: MCHJ-CLQ-CTacoma, WA 98431-1100

Mailing AddressMadigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-cTacoma, WA 98431-1100

Phone(512) 689-5719

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 13, 2016

✔ NPI 1639523871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WA · RN 60544953

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

MADIGAN ARMY MEDICAL CTR, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerome Bouie Rn,bsn.ccrn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648754457

PECOS Enrollment IDI20260319002732

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 Reassignment

Medicare enrollment records show Jerome Bouie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tellica Imaging - Washington LLC

8.7 mi

Radiology

2941 S 38TH ST STE E
Tacoma, WA 98409

Reassigned Medicare billing, Washington enrollment
89 clinicians in this Medicare group

NPI 1346093150 (253) 534-8689

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SARAH MCCREIGHT

Student in an Organized Health Care Education/Training Program

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON BLVD., GME-CLINICAL PSYCH INTERNSHIP PRGM
TACOMA, WA 98431

Pierce County (253) 968-2820

JOSEPH AYESH D.O.

Student in an Organized Health Care Education/Training Program

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE
TACOMA, WA 98431

Pierce County (253) 968-2825

DAVID BEARCE RN

Registered Nurse

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVENUE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431

Pierce County (814) 440-7277

SHARI AYNES RN

Registered Nurse

MADIGAN ARMY MEDICAL CTR, 9040A JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-3891

MILDRED LARAE MCCUTCHEON R.N.

Registered Nurse

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431

Pierce County (253) 968-3869

JEFFERY SUAREZ RN

Registered Nurse

MADIGAN ARMY MEDICAL CTR, 9040 REID STRETT, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431

Pierce County (253) 968-2252

RONALD LANCE STRENGTH RN

Registered Nurse

MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431

Pierce County (253) 968-1110

MR. LARRY E WITHAM PHYSICIAN ASSISTANT

Physician Assistant (Medical)

MADIGAN ARMY MEDICAL CTR, 9040A REID STREET
TACOMA, WA 98431

Pierce County (541) 922-3104

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 Jerome Bouie's NPI number?

The NPI number for Jerome Bouie is 1639523871. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Jerome Bouie located?

Jerome Bouie practices at Madigan Army Medical Ctr 9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma, WA 98431. The listed phone number is (512) 689-5719.

What is Jerome Bouie's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jerome Bouie enrolled in Medicare?

Yes. Jerome Bouie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerome Bouie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Bouie reassigns Medicare benefits to Tellica Imaging - Washington LLC (Tacoma, WA). 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 Jerome Bouie'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 Jerome Bouie was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.