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

Mr. Jeffrey W Bouley, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104440965

Mr. Jeffrey W Bouley, FNP-C is a Nurse Practitioner in Wakefield, Rhode Island. Qualified in 2020, 6 years ago. Practices with Thundermist Health Center, a 165-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1 River St
Wakefield, RI 02879-3214
Phone: (401) 783-0523
Fax: (401) 783-9448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN02341 (RI)

Record details

NPI number1104440965
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 7, 2020
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thundermist Health Center — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wakefield