JILL M BOUCHARD ANPC
NPI 1255714275
Nurse Practitioner - Adult Health in Old Town, ME

Q: What is Jill Bouchard's NPI number?

The NPI number for Jill Bouchard is 1255714275. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Q: What is Jill Bouchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jill Bouchard was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 08, 2015PECOS Enrolled

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128(207) 827-6605 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jill M Bouchard Anpc NPPES

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

JILL M BOUCHARD ANPC (NPI 1255714275) is an individual adult health provider in Old Town, Maine, licensed in Maine (CNP211360) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255714275

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJILL M BOUCHARDCredential: ANPC

Location Address242 BRUNSWICK STOld Town, ME 04468-1613

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435

Phone(207) 827-6128

Fax(207) 827-6605

Sole ProprietorYes

Enumeration DateJuly 8, 2015

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1255714275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in ME · CNP211360

242 BRUNSWICK ST, Old Town, ME 04468

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill M Bouchard Anpc 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 04468 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 20

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

CHRISTINE ANN CRITTENDEN RICHARD LCSW

Social Worker (Clinical)