BRIANNA BOUTIN NP
NPI 1962854786
Nurse Practitioner in Falmouth, ME

Active since July 05, 2016Opted out of Medicare · through Oct 29, 2027
19 NORTHBROOK DR, FALMOUTH, ME 04105(802) 523-3054(207) 910-9620 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brianna Boutin Np NPPES

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

BRIANNA BOUTIN NP (NPI 1962854786) is an individual nurse practitioner in Falmouth, Maine, licensed in Maine (CNP161075) and active in the NPI registry since July 2016. She has opted out of Medicare through October 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962854786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRIANNA BOUTINCredential: NP
Location Address19 NORTHBROOK DRFalmouth, ME 04105-1381
Mailing Address19 Northbrook DrFalmouth, ME 04105-1381 · (802) 523-3054 · Fax (207) 910-9620
Fax(207) 910-9620
Sole ProprietorYes
Enumeration DateJuly 5, 2016
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
NPI 1962854786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ME · CNP161075
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
19 NORTHBROOK DR, Falmouth, ME 04105

Other Names 1

Former Name (1)Brianna Mauro

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Brianna Boutin Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2025 through October 29, 2027.

Opt-Out Effective DateOctober 29, 2025
Opt-Out In Effect ThroughOctober 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.

Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
54 services12 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
28 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04105 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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

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

Nurse Practitioner (Family)
19 NORTHBROOK DR
FALMOUTH, ME 04105

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 Brianna Boutin's NPI number?

The NPI number for Brianna Boutin is 1962854786. It was assigned to this individual provider in the NPPES registry on July 5, 2016. The provider is also known as Brianna Mauro.

Where is Brianna Boutin located?

Brianna Boutin practices at 19 Northbrook Dr, Falmouth, ME 04105. The listed phone number is (802) 523-3054.

What is Brianna Boutin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brianna Boutin enrolled in Medicare?

No. Brianna Boutin has opted out of Medicare through October 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brianna Boutin was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.