1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Nurse Practitioner
  6. NPI Profile

MRS. ANN BOOMER NNP
NPI 1245267335
Nurse Practitioner - Neonatal in Bangor, ME

Active since June 26, 2006PECOS Enrolled
NICU PROFESSIONAL SERVICES EMMC, 489 STATE STREET, BANGOR, ME 04401(207) 973-8670(207) 973-5163 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Apr 20, 2020, Dec 8, 2017 (3 updates tracked since 2017).

About Mrs. Ann Boomer Nnp NPPES

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

MRS. ANN BOOMER NNP (NPI 1245267335) is an individual neonatal provider in Bangor, Maine, licensed in Maine (CNP81620) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1245267335
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. ANN BOOMERCredential: NNP
Location AddressNICU PROFESSIONAL SERVICES EMMC, 489 STATE STREETBangor, ME 04401-0404
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5163
Phone(207) 973-8670
Fax(207) 973-5163
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1245267335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in ME · CNP81620
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License R048086 (ME), CNP81620 (ME)
NICU PROFESSIONAL SERVICES EMMC, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1NICU Professional Services EMMC, 489 State StreetBangor, ME 04401-0404 · Phone (207) 973-8670 · Fax (207) 973-5163

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ann Boomer Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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.

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 Ann Boomer's NPI number?

The NPI number for Ann Boomer is 1245267335. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Ann Boomer located?

Ann Boomer practices at Nicu Professional Services Emmc 489 State Street, Bangor, ME 04401. The listed phone number is (207) 973-8670.

What is Ann Boomer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Ann Boomer enrolled in Medicare?

Yes. Ann Boomer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ann Boomer was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.