EMILY MARGARET BOEDEKER FNP
NPI 1407657943
Nurse Practitioner - Family in Portland, ME
About Emily Margaret Boedeker Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY MARGARET BOEDEKER FNP (NPI 1407657943) is an individual family provider in Portland, Maine, licensed in Maine (CNP251080) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Portland, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Emily Margaret Boedeker Fnp 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 Reassignment
Medicare enrollment records show Emily Boedeker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04101
- Reassigned Medicare billing, Maine enrollment
- 106 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04101 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emily Boedeker's NPI number?
The NPI number for Emily Boedeker is 1407657943. It was assigned to this individual provider in the NPPES registry on March 21, 2025.
Where is Emily Boedeker located?
Emily Boedeker practices at 191 Marginal Way, Portland, ME 04101. The listed phone number is (207) 517-3838.
What is Emily Boedeker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Emily Boedeker enrolled in Medicare?
Yes. Emily Boedeker 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 organization bills Medicare for Emily Boedeker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Boedeker reassigns Medicare benefits to Convenientmd - Ffs Uc LLC (Portland, ME). The 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 Emily Boedeker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Emily Boedeker was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Emily Margaret Boedeker, FNP · NPI 1407657943
Family physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since March 21, 2025.
## Identity
- **NPI:** 1407657943 (Entity type: Individual)
- **Enumerated:** March 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP251080 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 MARGINAL WAY, Portland, ME 04101-3387
- **Phone:** (207) 517-3838
## 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:** Convenientmd - Ffs Uc LLC (NPI 1861183303, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407657943) · Data from the CMS NPPES public registry.