Mallory Jannelle Boucher, NP

  • Rochester, MN
  • Nurse practitioner
NPI1336945161PAC ID6305359126
Affiliated sites
3
Medical group
1
State license
1
Year NPI issued
2025
Practice address
200 First Street SW, Rochester, MN 55905
Practice phone
Call (507) 284-5968
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Mayo Clinic Breast Diagnostic Clinic

Mammography / Breast Imaging Center · Rochester, Minnesota

See all 4 affiliations

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Mallory Jannelle Boucher is a nurse practitioner in Rochester, Minnesota

Mallory Boucher practices at Mayo Clinic Breast Diagnostic Clinic in Rochester, Minnesota.

Mallory Boucher's NPI, 1336945161, was assigned on February 21, 2025. Mallory Boucher holds Minnesota license 12869.

NPI and contact details
Medicare PAC ID
6305359126
NPI enumeration date
February 21, 2025
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(507) 284-5968
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
27
Medical school graduation
2025

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Mallory Jannelle Boucher practices at Mayo Clinic Breast Diagnostic Clinic in Rochester, Minnesota

Mallory Boucher's primary practice is Mayo Clinic Breast Diagnostic Clinic, at 200 First Street SW, Rochester, MN 55905. The practice phone is (507) 284-5968.

  • Mayo Clinic Breast Diagnostic Clinic
    200 First Street SW, Rochester, MN 55905Phone(507) 284-5968

Source: Dmand AI Affiliation Data

Mallory Jannelle Boucher is affiliated with 3 sites of care and 1 medical group

Mallory Boucher's primary practice is Mayo Clinic Breast Diagnostic Clinic in Rochester, Minnesota. The medical group on file is Mayo Clinic. Dmand AI also links Mallory Boucher to 1 more clinical lab and 1 hospice, each named with a free account. Mallory Boucher's employer is on file too: a breast imaging center.

See all 4 affiliations for Mallory Boucher

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Mallory Jannelle Boucher's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Mallory Boucher practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Mayo Clinic Breast Diagnostic ClinicAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Mallory Jannelle Boucher is one of 1,937 nurse practitioners in Minnesota

Nurse practitioner is Mallory Boucher's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Mallory Boucher is licensed in Minnesota.

Specialties and state licenses

  • Nurse practitioner, MinnesotaPrimaryLicense 12869 · taxonomy 363L00000X

Nurse practitioners near Mallory Boucher

Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Mallory Jannelle Boucher's patients have a median age of 50

Across all payers, Dmand AI patient panel data puts Mallory Boucher's median patient age at 50, with 89% women.

Mallory Boucher's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 50

Patient panel by sex, all payers

  • Women89%
  • Men11%

Source: Dmand AI Patient Panel Data

Mallory Jannelle Boucher offers telehealth to Medicare patients

Mallory Boucher accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Mallory Boucher as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Mallory Jannelle Boucher's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Mallory Jannelle Boucher

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Mallory Jannelle Boucher's NPI number?

Mallory Jannelle Boucher's NPI number is 1336945161. It was assigned on February 21, 2025, and it is active in the NPI Registry.

What does Mallory Jannelle Boucher specialize in?

Mallory Jannelle Boucher is a nurse practitioner in Rochester, Minnesota. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).

Where does Mallory Jannelle Boucher practice?

Mallory Boucher practices at 200 First Street SW, Rochester, MN 55905. Mallory Boucher's primary practice is Mayo Clinic Breast Diagnostic Clinic in Rochester, Minnesota. Dmand AI also links Mallory Boucher to 1 clinical lab and 1 hospice.

What is Mallory Jannelle Boucher's office phone number?

The practice phone on file for Mallory Boucher is (507) 284-5968.

What is Mallory Jannelle Boucher's medical license number?

Mallory Boucher holds Minnesota license 12869.

What medical group is Mallory Jannelle Boucher part of?

Mallory Boucher is linked to Mayo Clinic.

Does Mallory Jannelle Boucher accept Medicare?

Yes. CMS lists Mallory Boucher as accepting Medicare assignment.

Does Mallory Jannelle Boucher offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Mallory Boucher as offering telehealth services.

How long has Mallory Jannelle Boucher been practicing?

Mallory Boucher graduated from medical school in 2025, 1 years ago.

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