KATI LYN BOUCHER PMHNP-BC
NPI 1760904734
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1760904734
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATI LYN BOUCHERCredential: PMHNP-BC
Location Address268 STILLWATER AVEBangor, ME 04401-3945
Mailing Address268 Stillwater AveBangor, ME 04401-3945
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2017
NPI 1760904734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ME · CNP171090
268 STILLWATER AVE, Bangor, ME 04401

Accepted 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

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.

PECOS PAC ID2769755198
PECOS Enrollment IDI20170907001174
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 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.

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.
174 services58 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
47 services29 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services11 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.
11 services11 patients

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, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
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.

What insurance does Kati Boucher accept?

Health plans from Harvard Pilgrim Health Care 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 with the weekly NPPES data releases published by CMS.