KATI LYN BOUCHER PMHNP-BC
NPI 1760904734
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME
About Kati Lyn Boucher Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATI LYN BOUCHER PMHNP-BC (NPI 1760904734) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (CNP171090) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kati Lyn Boucher Pmhnp-bc 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 Reassignments
13Medicare enrollment records show Kati Boucher reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 28 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 348 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 174 clinicians in this Medicare group
Blue Hill, ME 04614
- Reassigned Medicare billing, Maine enrollment
- 125 clinicians in this Medicare group
Pittsfield, ME 04967
- Reassigned Medicare billing, Maine enrollment
- 140 clinicians in this Medicare group
Dover Foxcroft, ME 04426
- Reassigned Medicare billing, Maine enrollment
- 146 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Greenville, ME 04441
- Reassigned Medicare billing, Maine enrollment
- 105 clinicians in this Medicare group
Manchester, ME 04351
- Reassigned Medicare billing, Maine enrollment
- 920 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MENorthern Light Maine Coast Hospital
Acute Care Hospitals · Ellsworth, 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.
BANGOR, ME 04401
BANGOR, ME 04401
BANGOR, ME 04401
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 Kati Boucher's NPI number?
The NPI number for Kati Boucher is 1760904734. It was assigned to this individual provider in the NPPES registry on July 12, 2017.
Where is Kati Boucher located?
Kati Boucher practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.
What is Kati Boucher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kati Boucher enrolled in Medicare?
Yes. Kati Boucher 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 organizations bill Medicare for Kati Boucher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kati Boucher reassigns Medicare benefits to 13 organizations: Acadia Healthcare, Inc (Bangor, ME), Acadia Hospital Corp (Bangor, ME), Eastern Maine Medical Center (Bangor, ME), Maine Coast Regional Health Facilities (Ellsworth, ME), The Blue Hill Memorial Hospital (Blue Hill, ME) and 8 more organizations, listed in the Medicare section above. Each 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 Kati Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kati Boucher accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Kati Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kati Boucher affiliated with any hospitals?
According to CMS data, Kati Boucher is affiliated with Northern Light Eastern Maine Medical Center and Northern Light Maine Coast Hospital.
When was this NPI record last updated?
The NPPES record for Kati Boucher was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kati Lyn Boucher, PMHNP-BC · NPI 1760904734
Psychiatric/Mental Health physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since July 12, 2017.
## Identity
- **NPI:** 1760904734 (Entity type: Individual)
- **Enumerated:** July 12, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CNP171090 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 268 STILLWATER AVE, Bangor, ME 04401-3945
- **Phone:** (207) 973-6100
## 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:** 13 organizations under Medicare reassignment (form CMS-855R): Acadia Healthcare, Inc (NPI 1568477297, Bangor, ME); Acadia Hospital Corp (NPI 1215940523, Bangor, ME); Eastern Maine Medical Center (NPI 1790789147, Bangor, ME); Maine Coast Regional Health Facilities (NPI 1447204763, Ellsworth, ME); The Blue Hill Memorial Hospital (NPI 1023057809, Blue Hill, ME); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1760904734) · Data from the CMS NPPES public registry.