1. Home
  2. Directory
  3. Florida
  4. Mount Dora
  5. Nurse Practitioner
  6. NPI Profile

KIMBER ANNE BOUCHARD NP
NPI 1861559908
Nurse Practitioner - Gerontology in Mount Dora, FL

Active since January 01, 2007PECOS Enrolled
2146 WALLINGFORD LOOP, MOUNT DORA, FL 32757(352) 423-0666 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimber Anne Bouchard Np NPPES

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

KIMBER ANNE BOUCHARD NP (NPI 1861559908) is an individual gerontology provider in Mount Dora, Florida, licensed in Florida (APRN11018226) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861559908
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIMBER ANNE BOUCHARDCredential: NP
Location Address2146 WALLINGFORD LOOPMount Dora, FL 32757-8503
Mailing Address2146 Wallingford LoopMount Dora, FL 32757-8503 · (352) 423-0666
Phone(352) 423-0666
Sole ProprietorNo
Enumeration DateJanuary 1, 2007
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1861559908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in FL · APRN11018226✔ Licensed in MA · 178272
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 178272 (MA)
2146 WALLINGFORD LOOP, Mount Dora, FL 32757
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimber Anne Bouchard Np 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 32757 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Kimber Bouchard's NPI number?

The NPI number for Kimber Bouchard is 1861559908. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Kimber Bouchard located?

Kimber Bouchard practices at 2146 Wallingford Loop, Mount Dora, FL 32757. The listed phone number is (352) 423-0666.

What is Kimber Bouchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimber Bouchard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimber Bouchard was last updated on April 18, 2022. 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.