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EMMANUEL BOULOUTE NP
NPI 1942608674
Nurse Practitioner in Dorchester, MA

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment
637 WASHINGTON ST, DORCHESTER, MA 02124(617) 825-9660(617) 288-7898 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel Bouloute Np NPPES

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

EMMANUEL BOULOUTE NP (NPI 1942608674) is an individual nurse practitioner in Dorchester, Massachusetts, licensed in Massachusetts (RN2284528) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1942608674
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameEMMANUEL BOULOUTECredential: NP
Location Address637 WASHINGTON STDorchester, MA 02124-3510
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Phone(617) 825-9660
Fax(617) 288-7898
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 11, 2014
✔ NPI 1942608674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2284528
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
637 WASHINGTON ST, Dorchester, MA 02124
Open in Google Maps ↗

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

Emmanuel Bouloute 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 ID8022326461
PECOS Enrollment IDI20151005000305
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 02124 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.

DR. AMY MIN HE MD
Family Medicine
637 WASHINGTON ST
BOSTON, MA 02124
Suffolk County (617) 825-9660
MIA ISABEL RODRIGUEZ DDS
Student in an Organized Health Care Education/Training Program
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 825-9660
DR. MARK CYPRIAN BEAUMONT MD
Family Medicine
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 825-9660
SHANNON LYONS RN, FNP
Nurse Practitioner (Family)
637 WASHINGTON ST
BOSTON, MA 02124
Suffolk County (617) 825-9660
MS. MARIE ANDREE PIERRE-VICTOR MSW, LICSW
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 822-8211
JENNIFER GARLIN LCSW
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 825-9660
MS. DENISE MARIE CROKEN NP
Nurse Practitioner (Family)
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 825-9660
BOSTON MEDICAL CENTER CORPORATION
Pharmacy (Community/Retail Pharmacy)
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 638-8150

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 Emmanuel Bouloute's NPI number?

The NPI number for Emmanuel Bouloute is 1942608674. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Emmanuel Bouloute located?

Emmanuel Bouloute practices at 637 Washington St, Dorchester, MA 02124. The listed phone number is (617) 825-9660.

What is Emmanuel Bouloute's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emmanuel Bouloute enrolled in Medicare?

Yes. Emmanuel Bouloute 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 Emmanuel Bouloute accept?

Health plans from Anthem Blue Cross and Blue Shield list Emmanuel Bouloute 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 Emmanuel Bouloute affiliated with any hospitals?

According to CMS data, Emmanuel Bouloute is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Emmanuel Bouloute was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.