Michelle Lynne Boulton, RPA-C
NPI 1336167709ActiveIndividual· Physician Assistant· Watertown, NY
Physician Assistant (RPA-C) in Watertown, New York, licensed in NY, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - physician assistant. Corium, LLC reported $3.30 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1336167709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPA-C |
| Sole proprietor | No |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 011070-1 | NY |
| Physician Assistant, Surgical | 363AS0400X | 011070-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Industry payments (Open Payments)
- 2025$3.30 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Corium, LLC | $3.30 | 1 |
What the 2025 payments were for
- Food and Beverage$3.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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