Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ginger Bouma, PA-C

Individual provider Physician Assistant · NPI 1679507289

Ginger Bouma, PA-C is a Physician Assistant in Poulsbo, Washington. Qualified in 2003, 23 years ago. Practices with Smithcare General Dermatology, Mohs Surgery and Aesthetics PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
23
Licensed in
WA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21800 Market Pl NW Ste 103
Poulsbo, WA 98370-6667
Phone: (360) 291-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004612 (WA)

Record details

NPI number1679507289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address21800 Market Pl Nw Ste 103, Poulsbo, WA 98370-6667

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Smithcare General Dermatology, Mohs Surgery And Aesthetics Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Poulsbo