MS. NAN M BOUCHER ANP
NPI 1033157227
Nurse Practitioner - Gerontology in Lewiston, ME

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
99 CAMPUS AVE, SUITE 201, LEWISTON, ME 04240(207) 777-8810(207) 777-8155 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2022, Jan 9, 2019 (2 updates tracked since 2019).

About Ms. Nan M Boucher Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NAN M BOUCHER ANP (NPI 1033157227) is an individual gerontology provider in Lewiston, Maine, licensed in Maine (CNP81044) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1033157227
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. NAN M BOUCHERCredential: ANP
Location Address99 CAMPUS AVE, SUITE 201Lewiston, ME 04240-6045
Mailing AddressPo Box 95000 Lbx 7650Philadelphia, PA 19195-0001
Fax(207) 777-8155
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 2, 2006
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1033157227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in ME · CNP81044 Licensed in ME · AP081044
99 CAMPUS AVE, Lewiston, ME 04240

Other Identifiers 2

Medicaid30347091NH
Medicaid432184299ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Nan M Boucher Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709892847
PECOS Enrollment IDI20060718000067
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
99 CAMPUS AVE, SUITE 301
LEWISTON, ME 04240
Surgery
99 CAMPUS AVE, SUITE 303
LEWISTON, ME 04240
Social Worker (Clinical)
99 CAMPUS AVE
LEWISTON, ME 04240
Internal Medicine (Pulmonary Disease)
99 CAMPUS AVE, SUITE 401
LEWISTON, ME 04240
Psychiatry & Neurology (Neurology)
99 CAMPUS AVE, SUITE 402
LEWISTON, ME 04240
Internal Medicine
99 CAMPUS AVE, SUITE 201
LEWISTON, ME 04240
Urology
99 CAMPUS AVE, SUITE 401
LEWISTON, ME 04240
Nurse Practitioner (Family)
99 CAMPUS AVE, SUITE 401
LEWISTON, ME 04240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nan Boucher's NPI number?

The NPI number for Nan Boucher is 1033157227. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Nan Boucher located?

Nan Boucher practices at 99 Campus Ave Suite 201, Lewiston, ME 04240. The listed phone number is (207) 777-8810.

What is Nan Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nan Boucher enrolled in Medicare?

Yes. Nan Boucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nan Boucher affiliated with any hospitals?

According to CMS data, Nan Boucher is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Nan Boucher was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.