LINDA GRACE BOUCHILLON PA-C
NPI 1639852460
Physician Assistant in Huntington, WV

Q: What is Linda Bouchillon's NPI number?

The NPI number for Linda Bouchillon is 1639852460. It was assigned to this individual provider in the NPPES registry on August 9, 2023. The provider is also known as Grace Bouchillon Pa-C.

Q: What is Linda Bouchillon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Linda Bouchillon was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 09, 2023PECOS EnrolledAccepts Medicare Assignment

1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701(304) 691-1262(304) 691-1666 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Aug 9, 2023 (2 updates tracked since 2023).

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About Linda Grace Bouchillon Pa-c NPPES

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

LINDA GRACE BOUCHILLON PA-C (NPI 1639852460) is an individual physician assistant in Huntington, West Virginia, licensed in West Virginia (3077) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639852460

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLINDA GRACE BOUCHILLONCredential: PA-C

Location Address1600 MEDICAL CENTER DR STE G500Huntington, WV 25701-3659

Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579 · (304) 733-8728 · Fax (304) 691-8591

Phone(304) 691-1262

Fax(304) 691-1666

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 9, 2023

Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1639852460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WV · 3077

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1600 MEDICAL CENTER DR STE G500, Huntington, WV 25701

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Other Names 1

Other Name (5)Grace Bouchillon Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Linda Grace Bouchillon Pa-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.

PECOS PAC ID8426549510

PECOS Enrollment IDI20251117003042

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510055

Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

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 18

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

JOHN DAVID CROMPTON M.D.

Orthopaedic Surgery