DR. NICOLE COLETTE BOUCHARD MD
NPI 1699708883
General Practice in Kingston, NY

Q: What is Nicole Bouchard's NPI number?

The NPI number for Nicole Bouchard is 1699708883. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Nicole Bouchard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Bouchard was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 09, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

361 BROADWAY, KINGSTON, NY 12401(462) 501-9636 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nicole Colette Bouchard Md NPPES

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

DR. NICOLE COLETTE BOUCHARD MD (NPI 1699708883) is an individual general practice provider in Kingston, New York, licensed in New York (263528) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699708883

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. NICOLE COLETTE BOUCHARDCredential: MD

Location Address361 BROADWAYKingston, NY 12401-5151

Mailing Address98 Upper Whitfield RdAccord, NY 12404-5930 · (646) 250-1963

Phone(462) 501-9636

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 9, 2006

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1699708883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 263528

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

361 BROADWAY, Kingston, NY 12401

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1105 Marys AveKingston, NY 12401-5829 · Phone (845) 334-2500

Location 230 7th AveNew York, NY 10011-6629 · Phone (646) 665-6910

Other Identifiers 1

Medicaid02694333NY

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

Dr. Nicole Colette Bouchard Md 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 ID8527084938

PECOS Enrollment IDI20051014000605

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

168 services166 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

67 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

64 services63 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330119

Location100 East 77th StreetNew York, NY 10021 · New York County

Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330224

Location105 Mary's AvenueKingston, NY 12401 · Ulster County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

ORSA MEDICINE P.C.

General Practice

361 BROADWAY
KINGSTON, NY 12401

Ulster County (646) 250-1963

WENDY R PARISH, M.D., P.C.

Dermatology

361 BROADWAY
KINGSTON, NY 12401

Ulster County (845) 331-2677

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 Nicole Bouchard's NPI number?

The NPI number for Nicole Bouchard is 1699708883. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nicole Bouchard located?

Nicole Bouchard practices at 361 Broadway, Kingston, NY 12401. The listed phone number is (462) 501-9636.

What is Nicole Bouchard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicole Bouchard enrolled in Medicare?

Yes. Nicole Bouchard 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.

Is Nicole Bouchard affiliated with any hospitals?

According to CMS data, Nicole Bouchard is affiliated with Lenox Hill Hospital and Healthalliance Hospital Marys Avenue Campus.

When was this NPI record last updated?

The NPPES record for Nicole Bouchard was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.