Darcie Ellen Bouchard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1312 Issued in NV

Practice address

500 N Rainbow Blvd
Suite 203
Las Vegas, NV 89107

Phone

(702) 259-1228

Fax

(702) 433-2477

NPI assigned

Oct 18, 2010

Last updated

May 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Darcie Ellen Emge Former name

Medicare fee-for-service enrollment

Enrolled in NV

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irv Edwards MD PCGroup PAC ID 2365926698, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Irv Edwards MD PC

  dba Henderson Emergency Physicians

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1013884352
  Medicare reassignment Care Compare group
• Edwards MD PC

  dba West Henderson Emergency Physicians

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1902642994
  Medicare reassignment
• Shadow Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1184795874
  Medicare reassignment
• Shadow Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1043030919

  Physician Assistant

  NPD
• Doctors Medical Services, Emcare

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1578850962
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1285944769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD SUITE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89107",
            "telephone_number": "702-259-1228",
            "fax_number": "702-433-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89107",
            "telephone_number": "702-259-1228",
            "fax_number": "702-433-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "DARCIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "153222",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "69568060",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP/DEPARTMENT OF HUMAN SERVICES",
            "identifier": "500629170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCIE",
            "last_name": "EMGE",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith U Bottazzi, RN
• John Lawson Botts, DO
• Peter Antoune Joseph Bou-Daher, PA-C
• Brigette Boucaud
• Christina Jolie Bouchard
• Matthew William Bouchard, B.S.
• Alen Boucourt
• Kadin Boudaghian
• Lemou Boudaghian
• Linda Boudaghian

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.