ANDREA BOUCHARD CRNA
NPI 1114386554
Nurse Anesthetist, Certified Registered in Fort Kent, ME
About Andrea Bouchard Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA BOUCHARD CRNA (NPI 1114386554) is an individual nurse anesthetist, certified registered in Fort Kent, Maine, licensed in Maine (RNA163028) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea Bouchard Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Bouchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Kent, ME 04743
- Reassigned Medicare billing, Maine enrollment
- 121 clinicians in this Medicare group
Farmington, ME 04938
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT KENT, ME 04743
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 Andrea Bouchard's NPI number?
The NPI number for Andrea Bouchard is 1114386554. It was assigned to this individual provider in the NPPES registry on February 13, 2016. The provider is also known as Andrea Cyr Crna.
Where is Andrea Bouchard located?
Andrea Bouchard practices at 194 E Main St, Fort Kent, ME 04743. The listed phone number is (207) 834-3155.
What is Andrea Bouchard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Andrea Bouchard enrolled in Medicare?
Yes. Andrea Bouchard 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.
Which organizations bill Medicare for Andrea Bouchard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Bouchard reassigns Medicare benefits to 2 organizations: Northern Maine Medical Center (Fort Kent, ME) and Mainehealth (Farmington, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Bouchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrea Bouchard affiliated with any hospitals?
According to CMS data, Andrea Bouchard is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Andrea Bouchard was last updated on November 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrea Bouchard, CRNA · NPI 1114386554
Nurse Anesthetist, Certified Registered physician in Fort Kent, Maine. Individual provider, active in the CMS NPPES registry since February 13, 2016.
## Identity
- **NPI:** 1114386554 (Entity type: Individual)
- **Enumerated:** February 13, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RNA163028 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 194 E MAIN ST, Fort Kent, ME 04743-1428
- **Phone:** (207) 834-3155 · **Fax:** (207) 834-2949
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northern Maine Medical Center (NPI 1568465144, Fort Kent, ME); Mainehealth (NPI 1609356419, Farmington, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114386554) · Data from the CMS NPPES public registry.