Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Boucher, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1629750849

David Boucher, AGNP-C is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2023, 3 years ago. Practices with Maryland Family Care Inc, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023
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Practice location Address checks out

2801 Foster Ave
Baltimore, MD 21224-3865
Phone: (410) 342-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R235416 (MD)

Record details

NPI number1629750849
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Maryland Family Care Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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