Individual provider Active NPI

Donna Boucher, M.D.

  • Obstetrics & Gynecology Physician
  • Gainesville, FL
National Provider Identifier
1053791673
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME141730 Issued in FL
Practice address
6440 W Newberry Rd Ste 508
Gainesville, FL 32605-8303
Phone
(352) 792-6123
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN21695 FL
Obstetrics & Gynecology Physician 207V00000X ME141730 FL Primary

Addresses

Primary practice location

6440 W Newberry Rd Ste 508
Gainesville, FL 32605-8303

Mailing address

6440 W Newberry Rd Ste 508
Gainesville, FL 32605-8303

Other practice location 1

1401 Lucerne Ter
2nd floor
Orlando, FL 32806-2014
Phone (407) 841-5297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820002135 FL Practitioner - Obstetrics/Gynecology 7719292135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

6440 W Newberry Rd
Suite 508
Gainesville, FL 32605-8303
Phone (352) 332-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME141730FLMDObstetrics & Gynecology Physician
TRN21695FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Aug 5, 2019 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

6440 W Newberry Rd
Ste 508
Gainesville, FL 32605
Phone (352) 332-7222

3140 NW Medical Center Ln
Ste 140
Lake City, FL 32055
Phone (386) 438-5095

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Interoperability endpoints

  • Direct secure messaging: donna.boucher.1@2183.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1053791673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 508",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326058303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 508",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326058303",
            "telephone_number": "352-792-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Lucerne Ter",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062014",
            "country_code": "US",
            "telephone_number": "407-841-5297",
            "fax_number": "407-841-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "DONNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN21695",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME141730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.