Individual provider Active NPI

Olivia Boucher

  • Family Medicine Physician
  • Buckingham, PA
National Provider Identifier
1477936250
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD488741 Issued in PA
Practice address
4897 York Road
Buckingham, PA 18912-0278
Phone
(215) 794-7471
Fax
(215) 794-2576
NPI assigned
Jun 30, 2015
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD488741 PA Primary

Addresses

Primary practice location

4897 York Road
Buckingham, PA 18912-0278

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260519004193 PA Practitioner - Family Practice 9931537941

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4259 W Swamp Rd
Suite 306
Doylestown, PA 18902-1084

4259 W Swamp Rd
Suite 307
Doylestown, PA 18902-1033

PO Box
Philadelphia, PA 19182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29817NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buckingham Family Medicine Family Medicine Past Accepting new patients
Via Affiliates PastSince Jul 1, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1477936250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 YORK ROAD",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "189120278",
            "telephone_number": "215-794-7471",
            "fax_number": "215-794-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD488741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckingham, PA

Sources for this page

Verify at the official NPI Registry.