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JEAN ERNEST KENNY POULARD NP
NPI 1922896083
Nurse Practitioner - Family in Boston, MA

Active since April 29, 2025PECOS EnrolledAccepts Medicare Assignment
1601 WASHINGTON ST, BOSTON, MA 02118(617) 425-2000(617) 425-2041 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jean Ernest Kenny Poulard Np NPPES

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

JEAN ERNEST KENNY POULARD NP (NPI 1922896083) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2390854) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922896083
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN ERNEST KENNY POULARDCredential: NP
Location Address1601 WASHINGTON STBoston, MA 02118-1951
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756
Phone(617) 425-2000
Fax(617) 425-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 29, 2025
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1922896083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2390854
1601 WASHINGTON ST, Boston, MA 02118
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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 and accepts Medicare assignment

Jean Ernest Kenny Poulard Np 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 ID4284134271
PECOS Enrollment IDI20250825000750
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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

NICAURY VICTORIA SUAZO ORTIZ RN
Registered Nurse
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
CHELSEY CUTTING
Social Worker
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
KAYLA FLYNN CNP
Nurse Practitioner (Psychiatric/Mental Health)
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
SARI R KALIN M.S., R.D., L.D.N.
Nutritionist
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
MILAGROS MARIA AVALO RN
Registered Nurse
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
CATRINA MARIE MURPHY CNP
Nurse Practitioner (Family)
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
ALISON NOONE MSW
Social Worker
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000
AIDA PALENCIA
Registered Nurse (Community Health)
1601 WASHINGTON ST
BOSTON, MA 02118
Suffolk County (617) 425-2000

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 Jean Poulard's NPI number?

The NPI number for Jean Poulard is 1922896083. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Jean Poulard located?

Jean Poulard practices at 1601 Washington St, Boston, MA 02118. The listed phone number is (617) 425-2000.

What is Jean Poulard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jean Poulard enrolled in Medicare?

Yes. Jean Poulard 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 Jean Poulard affiliated with any hospitals?

According to CMS data, Jean Poulard is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Jean Poulard was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.