MS. LISA JEAN BOUCHER (P.A.-C) – Medical Physician Assistant, NPI 1730285982
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
Provider Addresses for MS. LISA JEAN BOUCHER (P.A.-C)
PO BOX 95000 LBX 7650
PHILADELPHIA, PA 191950001
Phone:
Type: Mailing
2000 E Gun Hill Rd
Bronx, NY 104696016
Phone: (718) 405-3534
Fax: (718) 405-3501
Type: Location
Lewiston Post Office, 4165, Salling Avenue, Lewiston, Albert Township, Montmorency County, Michigan, 49756, United States
LEWISTON, ME 042437291
Phone: (207) 777-8950
Fax: (207) 777-8800
Type: Mailing
21, Great Falls Plaza, Auburn, Androscoggin County, Maine, 04210, United States
AUBURN, ME 042105966
Phone: (207) 330-3950
Fax: (207) 330-3955
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $1,913.
Total Amount is formed as General ($1,913) + Research ($0) + Ownership ($0) = $1,913.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($433).
Total Amount
$1,913
General + Research + Ownership
Payments
99
Total payment records
General Amount
$1,913
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $433 |
| Amgen Inc. | $306 |
| Exact Sciences Corporation | $187 |
| Novo Nordisk Inc | $163 |
| PFIZER INC. | $127 |
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: 2020-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200129002251 | I | Physician Assistant | ME | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 19195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| P S Y C H I A T R Y | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Interventional Cardiology | NH | |
| - | ME | |
| - | ME |
Reviews
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