ADAM RYAN-LEWIS BOUCHER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013429158

ADAM RYAN-LEWIS BOUCHER (CRNA) is a healthcare provider. based in New milford, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 7352 (CT). The NPI Number for ADAM RYAN-LEWIS BOUCHER (CRNA) is 1013429158

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RYAN-LEWIS BOUCHER (CRNA)
NPI
1013429158
Phone
(860) 377-4177
Address
21 Elm St
Enumeration Date
30 October 2017
Last Update Date
16 November 2019

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2035737280
Graduation Year
2017 (9 years ago)
PAC ID
8022377159
Group Practice PAC ID
1759755416
Professional Enrollment ID
I20180118002052
Address ID
CT067082613WA64XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for ADAM RYAN-LEWIS BOUCHER (CRNA)

  • 21 Elm St

    New Milford, CT 067762915

    Phone: (860) 377-4177

    Type: Location

  • 23, Huntingtown Road, Huntingtown, Newtown, Fairfield County, Connecticut, 06407, United States

    NEWTOWN, CT 064702626

    Phone: (860) 377-4177

    Type: Mailing

  • Danbury Hospital, 24, Hospital Avenue, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    DANBURY, CT 068106099

    Phone: (860) 377-4177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($208).

Total Amount

$208

General + Research + Ownership

Payments

9

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$208
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180118002052ICertified Registered Nurse Anesthetist (Crna)CTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759755416View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Pain Management, AnesthesiologyMA
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

What is ADAM RYAN-LEWIS BOUCHER (CRNA)'s NPI number?
ADAM RYAN-LEWIS BOUCHER (CRNA)'s NPI is 1013429158 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ADAM RYAN-LEWIS BOUCHER (CRNA)?
You should see ADAM RYAN-LEWIS BOUCHER (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is ADAM RYAN-LEWIS BOUCHER (CRNA)?
ADAM RYAN-LEWIS BOUCHER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is ADAM RYAN-LEWIS BOUCHER (CRNA) associated with New Milford?
Public fields place ADAM RYAN-LEWIS BOUCHER (CRNA) around New Milford, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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