Elise Carole Boucher, DNP
Nurse Practitioner, Psych/Mental Health in West Allis, WI. Individual provider (NPI-1).
NPI number1801705249
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1801705249
- Entity type
- Individual (NPI-1)
- Name
- Elise Carole Boucher
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 19052-33 | WI | Yes |
Practice location
2424 S 102nd StWest Allis, WI 53227-2106
Phone 414-373-7474
Mailing address
2424 S 102nd StWest Allis, WI 53227-2106
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Psychiatric/Mental Health Nurse Practitioner providers in West Allis · All 1,759 providers in West Allis
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