BRADLEY BOUCHER CRNA
NPI 1821446600
Nurse Anesthetist, Certified Registered in Portland, ME

Active since June 02, 2016Accepts Medicare Assignment
98.06/100
CMS Quality Rating
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2526(207) 662-6236 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Boucher Crna NPPES

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

BRADLEY BOUCHER CRNA (NPI 1821446600) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA183057) and active in the NPI registry since June 2016. He is affiliated with Maine Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821446600
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRADLEY BOUCHERCredential: CRNA
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address190 Riverside St Unit 6bPortland, ME 04103-1073
Fax(207) 662-6236
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 2, 2016
Last NPPES UpdateDecember 4, 2018
NPI 1821446600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ME · RNA183057
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
22 BRAMHALL ST, Portland, ME 04102

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

Bradley Boucher Crna 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 ID8921345497
PECOS Enrollment IDI20190123000916

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.

Anesthesia for electroshock therapy 00104
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
19 services12 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services17 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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 20

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

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102

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 Bradley Boucher's NPI number?

The NPI number for Bradley Boucher is 1821446600. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Bradley Boucher located?

Bradley Boucher practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2526.

What is Bradley Boucher's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bradley Boucher enrolled in Medicare?

Yes. Bradley 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.

Is Bradley Boucher affiliated with any hospitals?

According to CMS data, Bradley Boucher is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Boucher was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.