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CHARITY BOUCHARD PA
NPI 1659745172
Physician Assistant in Grand Rapids, MI

Active since November 20, 2015PECOS Enrolled
1900 WEALTHY ST SE STE 290, GRAND RAPIDS, MI 49506(616) 774-8345 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Feb 26, 2021, Feb 21, 2019 and 1 more (4 updates tracked since 2015).

About Charity Bouchard Pa NPPES

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

CHARITY BOUCHARD PA (NPI 1659745172) is an individual physician assistant in Grand Rapids, Michigan and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659745172
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARITY BOUCHARDCredential: PA
Location Address1900 WEALTHY ST SE STE 290Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 774-8345
Sole ProprietorNo
Enumeration DateNovember 20, 2015
Last NPPES UpdateNovember 18, 20214 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1659745172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1900 WEALTHY ST SE STE 290, Grand Rapids, MI 49506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charity Bouchard Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

HALEY OUTCALT NP
Nurse Practitioner
1900 WEALTHY ST SE STE 290
GRAND RAPIDS, MI 49506
Kent County (616) 774-6345
DR. STEVEN PETER PETROVAS M.D.
Anesthesiology (Pain Medicine)
1900 WEALTHY ST SE STE 290
GRAND RAPIDS, MI 49506
Kent County (616) 774-8345

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 Charity Bouchard's NPI number?

The NPI number for Charity Bouchard is 1659745172. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Charity Bouchard located?

Charity Bouchard practices at 1900 Wealthy St SE Ste 290, Grand Rapids, MI 49506. The listed phone number is (616) 774-8345.

What is Charity Bouchard's specialty?

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

Is Charity Bouchard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charity Bouchard was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.