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STEPHANIE BOUCHARD DO
NPI 1811747231
Student in an Organized Health Care Education/Training Program in Bowling Green, KY

Active since March 26, 2024PECOS Enrolled
250 PARK ST, BOWLING GREEN, KY 42101(270) 745-1000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Bouchard Do NPPES

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

STEPHANIE BOUCHARD DO (NPI 1811747231) is an individual student in an organized health care education/training program in Bowling Green, Kentucky and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811747231
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE BOUCHARDCredential: DO
Location Address250 PARK STBowling Green, KY 42101-1760
Mailing Address19519 Gulf Blvd Unit 405Indian Shores, FL 33785-2206
Phone(270) 745-1000
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1811747231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
250 PARK ST, Bowling Green, KY 42101
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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)

Stephanie Bouchard Do 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.

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.

CHRISTIAN MICHAEL KRANZ CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
MORTEZA KAVEH PHARMD
Pharmacist
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
DR. MARIO PEROZO MD
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 796-6540
DR. DANIEL R LONG D.O.
Internal Medicine
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
MATTHEW DUANE HARMON CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
COLE THOMAS WILKEN
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 780-2680
MRS. SHELLIE D HARDCASTLE APRN
Nurse Practitioner (Family)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1808
MRS. FRANCES DARLENE COLE KCSA
Specialist/Technologist, Other (Surgical Assistant)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 781-4828

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 Stephanie Bouchard's NPI number?

The NPI number for Stephanie Bouchard is 1811747231. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Stephanie Bouchard located?

Stephanie Bouchard practices at 250 Park St, Bowling Green, KY 42101. The listed phone number is (270) 745-1000.

What is Stephanie Bouchard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Bouchard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Bouchard was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.