Elise Carole Boucher, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

19052-33 Issued in WI

Practice address

2004 S 70TH St
West Allis, WI 53219-1350

Phone

(414) 545-1043

NPI assigned

Sep 2, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1801705249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191350",
            "telephone_number": "414-545-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "ELISE",
        "middle_name": "CAROLE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "19052-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Bolton, PSYD
• Jordan J Bonnett, AU.D.
• Ashley Lauren Boonnam, FNP-BC
• Catherine M Bopp, PAC
• Bret Borowski, M.D.
• Nicole Marie Bouwma, RN
• Latasha Bovia, SAC
• Clayton Bowes, MD
• Pablo G Bozovich, MD
• Kailee Brandt

• All providers in West Allis, WI
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.