Stephanie Boulter, PA-C
NPI 1528443819ActiveIndividual· Physician Assistant, Surgical· Nashville, TN
Physician Assistant, Surgical (PA-C) with Elite Sports Medicine and Orthopaedic Center PLC, practicing in Nashville, Tennessee. Medicare paid $14,549 for services to 90 patients in 2024.
Overview
| NPI | 1528443819 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 28, 2015 |
| Last updated in NPPES | Jun 29, 2025 |
| Certified by provider | Jun 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA3636 | TN |
| Physician Assistant | 363A00000X | PA3636 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 177 across 36 procedure codes |
| Paid by Medicare | $14,549 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Elite Sports Medicine and Orthopaedic Center PLCNashville, TN · 91 clinicians
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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