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

Individual provider Physician Assistant · NPI 1356916894

Michelle Boushka is a Physician Assistant in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

860 Washington St
Boston, MA 02111-1521
Phone: (617) 636-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1356916894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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