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

Mrs. Jessica Faye Bouchard, RPA-C

Individual provider Medical Physician Assistant · NPI 1023247608

Mrs. Jessica Faye Bouchard, RPA-C is a Physician Assistant in Fayetteville, New York. Graduated from Albany Medical College of Union University in 2009, 17 years ago. Practices with Dr Fazeli and Dr Broumand LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2009

Practice location Address checks out

4110 Medical Center Dr
Fayetteville, NY 13066-6613
Phone: (315) 663-0100
Fax: (315) 663-0052
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013312-1 (NY)

Record details

NPI number1023247608
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2009
Last updated in NPPESNovember 25, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Dr. Fazeli And Dr. Broumand Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville