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Active NPI 1609756469 Individual Practitioner Female Practitioner

Jessie Lyn Bouchard , MSN, APRN, FNP-C

Nurse Practitioner • Lincoln, RI

Professional Overview & Biography Verified Profile Summary

Jessie Bouchard, MSN, APRN, FNP-C is a certified Nurse Practitioner practicing in Lincoln, RI. With approximately 2 years of clinical experience since completing medical education in 2024, Jessie Bouchard delivers high-quality medical care to the local community at 701 GEORGE WASHINGTON HWY STE 104.

Jessie Bouchard does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

701 George Washington Hwy Ste 104

Lincoln, RI 028654299

Telephone 4016068052
Associated Practice Facility / Clinic
🏢 Newport Hospital Facility NPI 1457346413

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lincoln, RI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Lincoln, RI (397 Statewide)

Telehealth Adoption Rate
46.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bouchard (2 Years) 2 Yrs
Lincoln Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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

State License 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.

Secondary Practice Locations

593 Eddy St, Hasbro Lower Level

Providence, RI 029034923

Phone: 4014446195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Prerana Baranwal

Pediatrics - Pediatric Gastroenterology

NPI 1013302058
NPI 1134577505

Doctor of Medicine (M.D.)

Dr. Vasupradha Suresh Kumar , MD

Pediatrics - Pediatric Cardiology

NPI 1427618719

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 23, 2026

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

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

Pediatrics (License #APRN04714 in RI)

📍
Updated Practice Location October 29, 2025

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

📍
Updated Business Mailing Address October 29, 2025

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

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

Nurse Practitioner (License #APRN04714 in RI)

NPI Profile Active September 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2025

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

📍
Updated Business Mailing Address September 03, 2025

Registered at 41 EDGEWOOD RD, CHEPACHET, RI 028142203

👤
Provider Name / Credentials Updated September 03, 2025

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

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

Pediatrics (License #APRN04714 in RI)

🟢
Initial NPI Registration & Enumeration September 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.