COREY CRAIG BOUSQUET (PA-C) – Physician Assistant, NPI 1598717571
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for COREY CRAIG BOUSQUET (PA-C)
45 MALER AVE
SHELTON, CT 064845925
Phone: (305) 528-9800
Type: Mailing
1918 BLACK ROCK TPKE
FAIRFIELD, CT 068253543
Phone: (203) 583-8400
Type: Location
Southwest 216th Street, Cutler Bay, Miami-Dade County, Florida, 33170, United States
CUTLER BAY, FL 331901003
Phone: (305) 278-6434
Fax: (305) 252-5881
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050825000628 | I | Physician Assistant | FL | TBD |
| I20220908003482 | I | Physician Assistant | CT | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 137 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 130 | 62 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 124 | 116 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 97 | 97 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 38 | 36 | $0 |
Insurance plans in this area (ZIP 06484)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | NY | |
| Nurse Practitioner | CT | |
| Physician Assistant | NY | |
| Emergency Medicine, Internal Medicine | CT | |
| Physician Assistant | MA | |
| Physician Assistant | CT |
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