Dominica Boucher
NPI 1104615087 · Nurse Practitioner · Worcester, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominica Boucher is a Nurse Practitioner provider in Worcester, MA (NPI 1104615087).
Provider details
- NPI number
- 1104615087
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN2371640 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
1 yr 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
- 2025-05-06
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is Dominica Boucher's NPI number?
- Dominica Boucher's National Provider Identifier (NPI) is 1104615087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominica Boucher's specialty?
- Dominica Boucher is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dominica Boucher located?
- Dominica Boucher's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Dominica Boucher's phone number?
- The practice phone number listed in the NPPES registry for Dominica Boucher is (508) 334-6691.
- Does Dominica Boucher accept Medicare?
- Dominica Boucher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dominica Boucher's NPI active?
- Yes — Dominica Boucher's NPI (1104615087) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.