MELISSA RICKER-BOUCHE MD NPI 1184253775

NPI Information

  • NPI: 1184253775
  • Provider Name: MELISSA RICKER-BOUCHE, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2651 WINDSOR ST
    SUN PRAIRIE, WI
    ZIP 53590
  • Phone: (608) 837-2206

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NPI Details

Melissa Ricker-bouche, MD is a geriatric medicine family medicine in Sun Prairie, WI with 6 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Melissa Ricker-bouche, MD NPI is 1184253775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

2651 WINDSOR ST
SUN PRAIRIE, WI
ZIP 53590-825
Phone: (608) 837-2206

The NPI 1184253775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine76364WISCONSINNo
2208M00000XHospitalist76364-20WISCONSINNo
3207QG0300XFamily MedicineGeriatric Medicine76364WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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