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

Active since July 09, 2006PECOS Enrolled
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: October 25, 2026.

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 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
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 130 7th AveNew York, NY 10011-6629 · Phone (646) 665-6910
Location 2105 Marys AveKingston, NY 12401-5829 · Phone (845) 334-2500

Other Identifiers 1

Medicaid02694333NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Colette Bouchard Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Bouchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Medical Associates New York PC
15 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1487409702 (845) 483-5000
North Shore-Lij Medical PC
80 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

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

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
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 enrollment system.

Which organizations bill Medicare for Nicole Bouchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bouchard reassigns Medicare benefits to 2 organizations: Physicians Medical Associates New York PC (Poughkeepsie, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Nicole Bouchard'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 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 15 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.