Jacques Boucal, NURSE PRACTITIONER
NPI 1366156986ActiveIndividual· Nurse Practitioner, Psych/Mental Health· St Louis Park, MN
Nurse Practitioner, Psych/Mental Health (NURSE PRACTITIONER) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $17,496 for 770 claims, against $8,693 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1366156986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2023 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 9848 | MN |
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 - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 169 across 7 procedure codes |
| Paid by Medicare | $8,693 |
Part D prescriptions in 2024
| Prescriptions (claims) | 770 · 1,050 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $17,496 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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