Jacqueline Marie Boucher-Stewart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003247 Issued in OH

Practice address

1220 E Elm St
Suite 205
Lima, OH 45804-2850

Phone

(419) 224-5437

NPI assigned

Apr 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Boucher Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Findlay Family Practice IncGroup PAC ID 0345312294, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridge Home Health and Hospice Home health agency, Findlay, OH, CCN 367102
• Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
• Bluffton Hospital Hospital, Bluffton, OH, CCN 361322

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pajboucher-stewart@findlayfp.medentdirect.com

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.

• Findlay Family Practice Inc

  • Family Medicine Physician
  • Findlay, OH
  • NPI 1720049059

  OH

  Medicare reassignment Care Compare group
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425

  OH

  Medicare reassignment
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Blanchard Valley Home Care Services LLC

  • Home Health Agency
  • Findlay, OH
  • NPI 1750348512
  Care Compare affiliation
• Blanchard Valley Regional Health Center

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327

  Hospital

  Care Compare affiliation
• Blanchard Valley Regional Health Center

  • Critical Access Hospital
  • Bluffton, OH
  • NPI 1831137827

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1225329360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E ELM ST",
            "address_2": "SUITE 205",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042850",
            "telephone_number": "419-224-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E ELM ST",
            "address_2": "SUITE 205",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042850",
            "telephone_number": "419-224-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER-STEWART",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BOUCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Kelly Bornman
• Brittany Boroff
• Karla Kay Boroff, CNP
• Torri Bost
• Nicole L Bostic, CRNA
• Musab Bouhajra, MD
• Charles Joseph Bouis III, CRNA
• Jeffrey N Boulter, MD
• Benjamin Bova, M.D.
• Brenda Bowden, RN

• All providers in Lima, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.