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MICHELLE J BOULEY PA-C
NPI 1871910364
Physician Assistant - Surgical in Peabody, MA

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
1 ORTHOPEDICS DR, 2ND FLOOR, PEABODY, MA 01960(978) 818-6350(978) 854-4811 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle J Bouley Pa-c NPPES

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

MICHELLE J BOULEY PA-C (NPI 1871910364) is an individual surgical provider in Peabody, Massachusetts, licensed in Massachusetts (PA4987) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871910364
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMICHELLE J BOULEYCredential: PA-C
Location Address1 ORTHOPEDICS DR, 2ND FLOORPeabody, MA 01960-1668
Mailing Address1 Orthopedics Dr, 2nd FloorPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 854-4811
Phone(978) 818-6350
Fax(978) 854-4811
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 24, 2014
Last NPPES UpdateSeptember 25, 2017
✔ NPI 1871910364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA4987
1 ORTHOPEDICS DR, Peabody, MA 01960
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle J Gravallese

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Michelle J Bouley Pa-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 ID3870715899
PECOS Enrollment IDI20141106002025
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex 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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

PHYSIOTHERAPY ASSOCIATES INC.
Occupational Therapist
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6260
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Specialist
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY,INC
Podiatrist (Foot & Ankle Surgery)
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350
MS. WENDY RENEE QUIGLEY
Physical Therapy Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6260
ALEXA KEATING
Physician Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6350
LAUREN DELLACROCE
Physical Therapist
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6350
JARETT S LANDMAN PA-C
Physician Assistant (Surgical)
1 ORTHOPEDICS DR
PEABODY, MA 01960
Essex County (978) 818-6350
JOSEPH J EVANS D.O.
Anesthesiology
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Essex County (978) 818-6350

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 Michelle Bouley's NPI number?

The NPI number for Michelle Bouley is 1871910364. It was assigned to this individual provider in the NPPES registry on March 24, 2014. The provider is also known as Michelle J Gravallese.

Where is Michelle Bouley located?

Michelle Bouley practices at 1 Orthopedics Dr 2nd Floor, Peabody, MA 01960. The listed phone number is (978) 818-6350.

What is Michelle Bouley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michelle Bouley enrolled in Medicare?

Yes. Michelle Bouley 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.

What insurance does Michelle Bouley accept?

Health plans from Anthem Blue Cross and Blue Shield list Michelle Bouley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Bouley affiliated with any hospitals?

According to CMS data, Michelle Bouley is affiliated with Anna Jaques Hospital and Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for Michelle Bouley was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.