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

Stephen Andrew Boucher, APRN

Individual provider Nurse Practitioner · NPI 1730728031

Stephen Andrew Boucher, APRN is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2019, 7 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

160 Academy Ave
Greenwood, SC 29646-3808
Phone: (864) 223-8090
Fax: (864) 223-4026
Show map & directions

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

Additional practice locations (1)

  • 102 Rockcreek Blvd, Greenwood, SC 29649-8915 — (864) 725-5020

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23405 (SC)

Record details

NPI number1730728031
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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