JILL M BOUCHARD ANPC
NPI 1255714275
Nurse Practitioner - Adult Health in Old Town, ME
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, is affiliated with Penobscot Valley Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jill M Bouchard Anpc 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 Jill Bouchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln, ME 04457
- Reassigned Medicare billing, Maine enrollment
- 36 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Maine enrollment
- 75 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penobscot Valley Hospital
Critical Access Hospitals · Lincoln, MEPhysician 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.
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.
OLD TOWN, ME 04468
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 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.
Where is Jill Bouchard located?
Jill Bouchard practices at 242 Brunswick St, Old Town, ME 04468. The listed phone number is (207) 827-6128.
What is Jill Bouchard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jill Bouchard enrolled in Medicare?
Yes. Jill 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 Jill Bouchard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Bouchard reassigns Medicare benefits to 2 organizations: Penobscot Valley Hospital (Lincoln, ME) and Signify Health, LLC (Dallas, TX). 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 Jill Bouchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jill Bouchard accept?
Health plans from Anthem Blue Cross and Blue Shield list Jill Bouchard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jill Bouchard affiliated with any hospitals?
According to CMS data, Jill Bouchard is affiliated with Penobscot Valley Hospital.
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.
# Jill M Bouchard, ANPC · NPI 1255714275
Adult Health physician in Old Town, Maine. Individual provider, active in the CMS NPPES registry since July 8, 2015.
## Identity
- **NPI:** 1255714275 (Entity type: Individual)
- **Enumerated:** July 8, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** CNP211360 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 242 BRUNSWICK ST, Old Town, ME 04468-1613
- **Phone:** (207) 827-6128 · **Fax:** (207) 827-6605
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Penobscot Valley Hospital (NPI 1093716086, Lincoln, ME); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255714275) · Data from the CMS NPPES public registry.