Kelly Bouchonville, PA-C
NPI 1154024586 · Physician Assistant · Iowa City, IA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bouchonville, PA-C is a Physician Assistant provider in Iowa City, IA (NPI 1154024586).
Provider details
- NPI number
- 1154024586
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 14257 (MN)
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
3 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
- 2023-03-24
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Frequently asked questions
- What is Kelly Bouchonville's NPI number?
- Kelly Bouchonville's National Provider Identifier (NPI) is 1154024586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bouchonville's specialty?
- Kelly Bouchonville is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Bouchonville located?
- Kelly Bouchonville's practice location on file with NPPES is 200 Hawkins Dr, Iowa City, IA 52242-1009.
- What is Kelly Bouchonville's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bouchonville is (319) 356-8133.
- Does Kelly Bouchonville accept Medicare?
- Kelly Bouchonville is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bouchonville's NPI active?
- Yes — Kelly Bouchonville's NPI (1154024586) is active in the NPPES registry as of the last update on 2025-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.