KAITLIN BOLDUC CRNA
NPI 1336508167
Nurse Anesthetist, Certified Registered in Portland, ME

Q: What is Kaitlin Bolduc's NPI number?

The NPI number for Kaitlin Bolduc is 1336508167. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Q: What is Kaitlin Bolduc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Bolduc was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 22, 2016Accepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2526(207) 662-6236 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2022, Mar 4, 2019, Feb 22, 2016 (3 updates tracked since 2016).

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About Kaitlin Bolduc Crna NPPES

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

KAITLIN BOLDUC CRNA (NPI 1336508167) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA163031) and active in the NPI registry since February 2016. She is affiliated with Northern Light Health and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336508167

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKAITLIN BOLDUCCredential: CRNA

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address190 Riverside St Unit 6bPortland, ME 04103-1073

Phone(207) 662-2526

Fax(207) 662-6236

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 22, 2016

Last NPPES UpdateDecember 16, 20223 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1336508167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ME · RNA163031

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

22 BRAMHALL ST, Portland, ME 04102

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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 and accepts Medicare assignment

Kaitlin Bolduc 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.

PECOS PAC ID42590432

PECOS Enrollment IDI20161130001536

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

11 services11 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 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)