EMILY BOEDEKER
NPI 1407657943
Nurse Practitioner - Family in Portland, ME

Q: 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.

Q: What is Emily Boedeker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Boedeker was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2025PECOS EnrolledAccepts Medicare Assignment

191 MARGINAL WAY, PORTLAND, ME 04101(207) 517-3838 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Mar 21, 2025 (2 updates tracked since 2025).

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About Emily Boedeker NPPES

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

EMILY BOEDEKER (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 and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407657943

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEMILY BOEDEKER

Location Address191 MARGINAL WAYPortland, ME 04101-3387

Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105

Phone(207) 517-3838

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 21, 2025

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1407657943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ME · CNP251080

191 MARGINAL WAY, Portland, ME 04101

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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

Emily Boedeker 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 ID4082117130

PECOS Enrollment IDI20250912003816

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 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.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

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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.

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