KATHY BOUTON SEMMEL PA
NPI 1851300255
Physician Assistant in Hampden, ME

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
21 WESTERN AVE, HAMPDEN, ME 04444(207) 862-0300(207) 907-1041 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Dec 6, 2019 (2 updates tracked since 2019).

About Kathy Bouton Semmel Pa NPPES

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

KATHY BOUTON SEMMEL PA (NPI 1851300255) is an individual physician assistant in Hampden, Maine, licensed in Maine (PA1051) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Albany Medical College Of Union University (1992).

NPPES Registry Identity

NPI1851300255
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHY BOUTON SEMMELCredential: PA
Location Address21 WESTERN AVEHampden, ME 04444-1422
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Fax(207) 907-1041
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1992
Enumeration DateAugust 5, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1851300255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA1051
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

21 WESTERN AVE, Hampden, ME 04444

Other Identifiers 1

Medicaid300640099ME

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

Kathy Bouton Semmel Pa 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 ID5799773354
PECOS Enrollment IDI20040503001187
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.
245 services114 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.
90 services90 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.
31 services29 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

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 Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04444 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
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers24 claims55 services$5.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims13 services$0.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$83.66 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 3

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

Nurse Practitioner (Family)
21 WESTERN AVE
HAMPDEN, ME 04444
Family Medicine
21 WESTERN AVE
HAMPDEN, ME 04444
Family Medicine
21 WESTERN AVE
HAMPDEN, ME 04444

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 Kathy Bouton Semmel's NPI number?

The NPI number for Kathy Bouton Semmel is 1851300255. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kathy Bouton Semmel located?

Kathy Bouton Semmel practices at 21 Western Ave, Hampden, ME 04444. The listed phone number is (207) 862-0300.

What is Kathy Bouton Semmel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathy Bouton Semmel enrolled in Medicare?

Yes. Kathy Bouton Semmel 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 Kathy Bouton Semmel accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathy Bouton Semmel 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 Kathy Bouton Semmel affiliated with any hospitals?

According to CMS data, Kathy Bouton Semmel is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kathy Bouton Semmel was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.