Myrlene Bouillon, PA
NPI 1063539179 · Physician Assistant · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myrlene Bouillon, PA is a Physician Assistant provider in New Hyde Park, NY (NPI 1063539179).
Provider details
- NPI number
- 1063539179
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 004947 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Myrlene Bouillon's NPI number?
- Myrlene Bouillon's National Provider Identifier (NPI) is 1063539179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Myrlene Bouillon's specialty?
- Myrlene Bouillon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Myrlene Bouillon located?
- Myrlene Bouillon's practice location on file with NPPES is 27005 76th Ave, New Hyde Park, NY 11040-1433.
- What is Myrlene Bouillon's phone number?
- The practice phone number listed in the NPPES registry for Myrlene Bouillon is (718) 470-7660.
- Does Myrlene Bouillon accept Medicare?
- Myrlene Bouillon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Myrlene Bouillon's NPI active?
- Yes — Myrlene Bouillon's NPI (1063539179) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.