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

Zachary Bouchelle

Individual provider Physician Assistant · NPI 1598205122

Zachary Bouchelle is a Physician Assistant in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices with Beal Dermatology, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9109918 (FL)

Record details

NPI number1598205122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2017
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Beal Dermatology, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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