Individual provider Active NPI

Madison Boucher

  • Women's Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1154272391
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
088727-23 Issued in NH
Practice address
201 Riverway PL
Bedford, NH 03110-6763
Phone
(603) 668-8400
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 088727-23 NH Primary

Addresses

Primary practice location

201 Riverway PL
Bedford, NH 03110-6763

Mailing address

41 High Range Rd
Londonderry, NH 03053-3143

Other practice location 1

50 Michels Way Unit 203
Londonderry, NH 03053-3500
Phone (603) 668-8400

Other practice location 2

6 Tsienneto Rd Ste 202
Derry, NH 03038-1584
Phone (603) 668-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227000666 NH Practitioner - Nurse Practitioner 4981185980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Commons OB GYN PAGroup PAC ID 3577535673, 24 clinicians

Practice addresses (Care Compare)

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088727-23NHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Commons OB GYN PA CurrentSince Dec 20, 2025 Accepting new patients

Locations

201 Riverway Pl
Bedford, NH 03110
Phone (603) 494-0682

6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560

50 Michels Way
Unit 203
Londonderry, NH 03053

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1154272391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIGH RANGE RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Michels Way Unit 203",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533500",
            "country_code": "US",
            "telephone_number": "603-668-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Tsienneto Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381584",
            "country_code": "US",
            "telephone_number": "603-668-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "088727-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.