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LISA L BULTHUIS NP
NPI 1689636607
Nurse Practitioner - Family in South Portland, ME

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 FODEN RD, WEST, SUITE 100, SOUTH PORTLAND, ME 04106(207) 523-3904(207) 523-8588 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa L Bulthuis Np NPPES

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

LISA L BULTHUIS NP (NPI 1689636607) is an individual family provider in South Portland, Maine, licensed in Maine (CNP81553) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689636607
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA L BULTHUISCredential: NP
Location Address100 FODEN RD, WEST, SUITE 100South Portland, ME 04106
Mailing Address100 Gannett Drive, Suite CSouth Portland, ME 04106 · (207) 828-0361 · Fax (207) 874-1483
Phone(207) 523-3904
Fax(207) 523-8588
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 5, 2006
Last NPPES UpdateNovember 7, 2017
✔ NPI 1689636607 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 · CNP81553
100 FODEN RD, WEST, South Portland, ME 04106
Open in Google Maps ↗

Other Identifiers 8

OtherE400409706ME · Medicare
Medicare PINNP271203ME
Medicare PINNP271202ME
OtherE400409710ME · Medicare
Medicare PINE400229846ME
Medicare PINNP271201ME
Medicare PINNP2712ME
Medicare UPINP15445ME

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 L Bulthuis 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.

PECOS PAC ID6002942703
PECOS Enrollment IDI20100406000343
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services92 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY B. VIOLA DPT
Physical Therapist
100 FODEN RD, WEST, STE 205
SOUTH PORTLAND, ME 04106
Cumberland County (207) 780-8860
KAREN WEISS PNP
Nurse Practitioner (Pediatrics)
100 FODEN RD, WEST, SITE 303
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3767
DR. MARGARET J. ZAMBONI DO
Pediatrics
100 FODEN RD, WEST, SUITE 303
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3767
BENJAMIN D LIESS MD
Otolaryngology
100 FODEN RD, WEST, SUITE 100
SOUTH PORTLAND, ME 04106
Cumberland County (207) 347-2910
DR. CHRISTINA E KILLORAN MD
Dermatology
100 FODEN RD, WEST, SUITE 100
SOUTH PORTLAND, ME 04106
Cumberland County (207) 523-3900
ROLAND ADAMS PT
Physical Therapist
100 FODEN RD, WEST, SUITE 205
PORTLAND, ME 04106
Cumberland County (207) 780-8860
TODD D. LAMOREAU PT
Physical Therapist
100 FODEN RD, WEST, SUITE 205
SOUTH PORTLAND, ME 04106
Cumberland County (207) 780-8860
ANITA J SCHLEMANN APRN BC
Clinical Nurse Specialist
100 FODEN RD, WEST, SUITE 203
PORTLAND, ME 04106
Cumberland County (207) 828-0361

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 Bulthuis's NPI number?

The NPI number for Lisa Bulthuis is 1689636607. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Lisa Bulthuis located?

Lisa Bulthuis practices at 100 Foden Rd, West Suite 100, South Portland, ME 04106. The listed phone number is (207) 523-3904.

What is Lisa Bulthuis's specialty?

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

Is Lisa Bulthuis enrolled in Medicare?

Yes. Lisa Bulthuis 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 Bulthuis affiliated with any hospitals?

According to CMS data, Lisa Bulthuis is affiliated with Maine Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Bulthuis was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.