Courtney Boucke in Grass Valley, California

Medical School: Sorry, her university is not listed
Graduation Year: 2011
The Primary Medical Specialty for Courtney Boucke is listed as: Nurse Practitioner
Approximate Years of Experience: 13
PAC (PECOS ID)#: 8426294307
NPI #: 1831433119
NPI Created On: 11/26/2012
NPI Last Updated Listed as: 02/21/2014
Primary Taxonomy Code: 363LA2200X
License Number:
20879
Listed Gender: Female

Services and Procedures include:

1. Removal of impacted ear wax by washing
2. Urinalysis, manual test
3. Vaccine for influenza for injection into muscle
4. Pneumococcal vaccine for injection into muscle
5. Vaccine for influenza for administration into muscle, 0.5 ml dosage
6. Established patient office or other outpatient visit, typically 15 minutes
7. Established patient office or other outpatient, visit typically 25 minutes
8. Established patient office or other outpatient, visit typically 40 minutes
9. Chronic care management services at least 20 minutes per calendar month
10. Administration of influenza virus vaccine
11. Administration of pneumococcal vaccine
12. Cervical or vaginal cancer screening; pelvic and clinical breast examination
13. Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
14. Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
15. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
16. Annual depression screening, 15 minutes
17. Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)