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Jean M Bouche , RD

Dietitian, Registered β€’ Appleton, WI

Active NPI 1396801874 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2400 E Capitol Dr
Appleton, WI 549118728

Call 9204543114 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

2400 E Capitol Dr

Appleton, WI 549118728

Telephone 9204543114
Fax 9208315093
Organization at the Same NPPES Address or Phone
Thedacare Regional Medical Center - Appleton, Inc. Facility NPI 1457023772

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 Marinette, WI. 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

1991

Years since graduation

35 years (graduated 1991)

CMS Doctors and Clinicians data list 1991 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

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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)

Jean Bouche 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

Compared with the same specialty in Appleton and Wisconsin

48 active clinicians are listed under Dietitian, Registered with a practice address in Appleton, WI (1,457 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

2.1% of these 48 clinicians have the CMS telehealth indicator.

6.2% of these 48 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: 2025-08-01
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WI 1276-029

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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: Wisconsin Department of Safety and Professional Services.
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 - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20250813000542

Enrollment State Jurisdiction

WI

PECOS Control ID

6305344813

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

Secondary Practice Locations

3100 Shore Dr, Dietary

Marinette, WI 541434242

Phone: 7157354200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Catherine Allen , MSN, APNP

Nurse Practitioner - Family

NPI 1952971285

Master of Science in Nursing, Advanced Practice Nurse Prescriber

NPI 1073279816

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Jessica Arneson , PA

Physician Assistant

NPI 1790177681

Physician Assistant

Jessica Baumbach , APNP

Nurse Practitioner

NPI 1285854950

Advanced Practice Nurse Prescriber

Dr. Christina Brooks , MD

Anesthesiology - Pain Medicine

NPI 1609307958

Doctor of Medicine (M.D.)

Tennille Cheslock

Nurse Practitioner

NPI 1376372599

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location August 01, 2025

Registered at 2400 E CAPITOL DR, APPLETON, WI 549118728 (Tel: 9204543114)

πŸ“
Updated Business Mailing Address August 01, 2025

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)

βœ…
NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2008

Registered at 3100 SHORE DR, DIETARY, MARINETTE, WI 541434242 (Tel: 7157354200)

πŸ“
Business Mailing Address (Initial Record) May 27, 2008

Registered at 3100 SHORE DR, DIETARY, MARINETTE, WI 541434242 (Tel: 7157354200)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2008

Recorded as JEAN BOUCHE, R.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Dietitian, Registered (license number reported to NPPES: WI 1276-029)

🟒
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396801874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: August 01, 2025
Sole Proprietor: No

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208305900

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.