LISA MARIE BOMA NP
NPI 1619761343
Nurse Practitioner - Acute Care in Bangor, ME
About Lisa Marie Boma Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE BOMA NP (NPI 1619761343) is an individual acute care provider in Bangor, Maine, licensed in Maine (CNP251188) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Marie Boma Np 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light A R Gould Hospital
Acute Care Hospitals · Presque Isle, MENorthern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MECalais Community Hospital
Critical Access Hospitals · Calais, MENorthern Light Mayo Hospital
Critical Access Hospitals · Dover Foxcroft, MEDown East Community Hospital
Critical Access Hospitals · Machias, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 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.
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 Lisa Boma's NPI number?
The NPI number for Lisa Boma is 1619761343. It was assigned to this individual provider in the NPPES registry on April 7, 2025.
Where is Lisa Boma located?
Lisa Boma practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-7000.
What is Lisa Boma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Lisa Boma enrolled in Medicare?
Yes. Lisa Boma 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.
Is Lisa Boma affiliated with any hospitals?
According to CMS data, Lisa Boma is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center, Calais Community Hospital, Northern Light Mayo Hospital and Down East Community Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Boma was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Lisa Marie Boma, NP · NPI 1619761343
Acute Care physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1619761343 (Entity type: Individual)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** CNP251188 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 489 STATE ST, Bangor, ME 04401-6616
- **Phone:** (207) 973-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619761343) · Data from the CMS NPPES public registry.