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

Individual provider Medical Physician Assistant · NPI 1053884635

Todd Michael Boucher, PA-C is a Physician Assistant in Aurora, Colorado. Qualified in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2019
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

16951 E Quincy Ave
Aurora, CO 80015-1901
Phone: (303) 752-5480
Fax: (303) 752-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6256 Oxford Peak Ct, Castle Rock, CO 80108-9467 — (720) 485-1981

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0005535 (CO)

Record details

NPI number1053884635
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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