MIRYAM AMELIE BOUCHER NP-C
NPI 1699311753
Nurse Practitioner - Family in New Bedford, MA

Q: What is Miryam Boucher's NPI number?

The NPI number for Miryam Boucher is 1699311753. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Q: What is Miryam Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Miryam Boucher was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 November 25, 2019PECOS EnrolledAccepts Medicare Assignment

874 PURCHASE ST, NEW BEDFORD, MA 02740(508) 992-6553 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Sep 30, 2024, May 13, 2024 and 5 more (8 updates tracked since 2019).

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About Miryam Amelie Boucher Np-c NPPES

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

MIRYAM AMELIE BOUCHER NP-C (NPI 1699311753) is an individual family provider in New Bedford, Massachusetts, licensed in Massachusetts (RN2319289) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699311753

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMIRYAM AMELIE BOUCHERCredential: NP-C

Location Address874 PURCHASE STNew Bedford, MA 02740-6232

Mailing Address874 Purchase StNew Bedford, MA 02740-6232 · (508) 992-6553

Phone(508) 992-6553

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 25, 2019

Last NPPES UpdateJune 25, 20268 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1699311753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MA · RN2319289✔ Licensed in RI · 02226

Also ListedRegistered NurseTaxonomy 163W00000X · License 58023 (RI)

874 PURCHASE ST, New Bedford, MA 02740

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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 and accepts Medicare assignment

Miryam Amelie Boucher Np-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 ID6901232453

PECOS Enrollment IDI20230907003481

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services25 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02740 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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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.

MRS. ANDRIA SAVERY N.P.

Nurse Practitioner (Acute Care)