MS. LISA JEAN BOUCHER P.A.-C
NPI 1730285982
Physician Assistant - Medical in Auburn, ME

Q: What is Lisa Boucher's NPI number?

The NPI number for Lisa Boucher is 1730285982. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Lisa Boucher's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Boucher was last updated on November 8, 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 September 15, 2006PECOS EnrolledAccepts Medicare Assignment

2 GREAT FALLS PLZ STE 21, AUBURN, ME 04210(207) 330-3950(207) 330-3955 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Jun 8, 2022, Jan 13, 2020 and 1 more (4 updates tracked since 2016).

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About Ms. Lisa Jean Boucher P.a.-c NPPES

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

MS. LISA JEAN BOUCHER P.A.-C (NPI 1730285982) is an individual medical provider in Auburn, Maine, licensed in Connecticut (001342) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1730285982

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. LISA JEAN BOUCHERCredential: P.A.-C

Location Address2 GREAT FALLS PLZ STE 21Auburn, ME 04210-5966

Mailing AddressPo Box 95000 Lbx 7650Philadelphia, PA 19195-0001

Phone(207) 330-3950

Fax(207) 330-3955

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 15, 2006

Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1730285982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 001342

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5606 (NY), PA646 (ME)

2 GREAT FALLS PLZ STE 21, Auburn, ME 04210

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Secondary Practice Location 1

Location 12000 E Gun Hill RdBronx, NY 10469-6016 · Phone (718) 405-3534 · Fax (718) 405-3501

Other Identifiers 1

Medicaid02209570NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Ms. Lisa Jean Boucher P.a.-c 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 ID3971573940

PECOS Enrollment IDI20200129002251

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.

103 services61 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 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.

20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims31 services$4.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DALLAS R MARQUIS PA-C

Physician Assistant (Medical)