DR. REBECCA BOUCHER (M.D.) – Psychiatry Physician, NPI 1063555431

DR. REBECCA BOUCHER (M.D.) is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 0101236337 (VA). The NPI Number for DR. REBECCA BOUCHER (M.D.) is 1063555431

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA BOUCHER (M.D.)
NPI
1063555431
Phone
Not provided
Address
2-2 EBH 10TH ST
Enumeration Date
15 February 2007
Last Update Date
2 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448678444
Graduation Year
2002 (24 years ago)
PAC ID
2264896455
Group Practice PAC ID
7911382072
Professional Enrollment ID
I20230906002066
Address ID
WA984097209TA4301XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. REBECCA BOUCHER (M.D.)

  • 2-2 EBH 10TH ST

    JOINT BASE LEWIS MCCHORD, WA 984310001

    Phone:

    Type: Mailing

  • U.S. Army MEDDAC Heidelberg, Department of Psychiatry

    CMR 442, Box 534

    APO, AE 09042

    Phone: 011496221172690

    Fax: 011496221172656

    Type: Location

  • 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 966-1481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-06

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
I20230906002066IPsychiatryWATBD

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 98431)

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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: 7911382072View full group profile
NameSpecialtyState
P S Y C H I A T R YWA
P S Y C H I A T R YMO
P S Y C H I A T R YWA
Nurse PractitionerSC
Nurse PractitionerUT
P S Y C H I A T R YWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Where can patients find DR. REBECCA BOUCHER (M.D.)'s NPI?
You can confirm DR. REBECCA BOUCHER (M.D.) with NPI 1063555431; it appears in the national provider directory.
Is DR. REBECCA BOUCHER (M.D.) active in the national directory?
DR. REBECCA BOUCHER (M.D.)'s public NPI profile is in an active state.
Does DR. REBECCA BOUCHER (M.D.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. REBECCA BOUCHER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. REBECCA BOUCHER (M.D.)?
We surface Joint Base Lewis Mcchord, Washington for DR. REBECCA BOUCHER (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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