COREY CRAIG BOUSQUET (PA-C) – Physician Assistant, NPI 1598717571

COREY CRAIG BOUSQUET (PA-C) is a healthcare provider. based in Shelton, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9102466 (FL). The NPI Number for COREY CRAIG BOUSQUET (PA-C) is 1598717571

Main info

Male
24 Years Of Experience
Name
COREY CRAIG BOUSQUET (PA-C)
NPI
1598717571
Phone
(305) 528-9800
Address
45 MALER AVE
Enumeration Date
17 May 2006
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036751345
Graduation Year
2002 (24 years ago)
PAC ID
4082645494
Group Practice PAC ID
0749642726
Professional Enrollment ID
I20220908003482
Address ID
CT065114549NE527XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050825000628IPhysician AssistantFLTBD
I20220908003482IPhysician AssistantCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes151137$0
87804Detection test by immunoassay with direct visual observation for influenza virus13062$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus124116$0
99203New patient office or other outpatient visit, 30-44 minutes9797$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3836$0
View full utilization report →

Insurance plans in this area (ZIP 06484)

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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: 0749642726View full group profile
NameSpecialtyState
Physician AssistantNY
Nurse PractitionerMI
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantNY
Nurse PractitionerCT
Physician AssistantNY
Emergency Medicine, Internal MedicineCT
Physician AssistantMA
Physician AssistantCT

Reviews

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Frequently asked questions

Where can patients find COREY CRAIG BOUSQUET (PA-C)'s NPI?
You can confirm COREY CRAIG BOUSQUET (PA-C) with NPI 1598717571; it appears in the national provider directory.
Is COREY CRAIG BOUSQUET (PA-C) currently active in the NPI registry?
CMS-published data lists COREY CRAIG BOUSQUET (PA-C) as an active registrant.
Can you summarize COREY CRAIG BOUSQUET (PA-C)'s specialty in plain language?
Clinically, the directory lists COREY CRAIG BOUSQUET (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place COREY CRAIG BOUSQUET (PA-C)?
The snapshot lists Shelton, Connecticut for COREY CRAIG BOUSQUET (PA-C); download NPPES for the complete set.
How can I contact COREY CRAIG BOUSQUET (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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