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Jessie Lyn Bouchard , MSN, APRN, FNP-C

Nurse Practitioner β€’ Lincoln, RI

Active NPI 1609756469 Individual Practitioner Female Practitioner
Practice location in NPPES

701 George Washington Hwy Ste 104
Lincoln, RI 028654299

Call 4016068052 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

701 George Washington Hwy Ste 104

Lincoln, RI 028654299

Telephone 4016068052
Organization at the Same NPPES Address or Phone
Lifespan Of Massachusetts - Fall River Inc Facility NPI 1013744200

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Providence, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jessie Bouchard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jessie Bouchard as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lincoln and Rhode Island

13 active clinicians are listed under Nurse Practitioner with a practice address in Lincoln, RI (391 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lincoln

46.2% of these 13 clinicians have the CMS telehealth indicator.

61.5% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES RI APRN04714

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Pediatrics - Pediatric Gastroenterology

NUCC Taxonomy Code: 2080P0206X

License # reported to NPPES RI APRN04714

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20251113000649

Enrollment State Jurisdiction

RI

PECOS Control ID

1052802410

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

593 Eddy St, Hasbro Lower Level

Providence, RI 029034923

Phone: 4014446195

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location January 23, 2026

Registered at 701 GEORGE WASHINGTON HWY STE 104, LINCOLN, RI 028654299 (Tel: 4016068052)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2026

Pediatrics (license number reported to NPPES: RI APRN04714)

πŸ“
Updated Practice Location October 29, 2025

Registered at 593 EDDY ST, HASBRO LOWER LEVEL, PROVIDENCE, RI 029034923 (Tel: 4014446195)

πŸ“
Updated Business Mailing Address October 29, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Nurse Practitioner (license number reported to NPPES: RI APRN04714)

βœ…
NPI Profile Active September 03, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 03, 2025

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444000)

πŸ“
Business Mailing Address (Initial Record) September 03, 2025

Registered at 41 EDGEWOOD RD, CHEPACHET, RI 028142203

πŸ‘€
Provider Name / Credentials (Initial Record) September 03, 2025

Recorded as JESSIE BOUCHARD, MSN, APRN, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Pediatrics (license number reported to NPPES: RI APRN04714)

🟒
Initial NPI Registration & Enumeration September 03, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609756469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2025
Last Update: January 23, 2026
Sole Proprietor: No

Other Nurse Practitioners in Lincoln

All Nurse Practitioners in Lincoln

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.