BONNIE BOUCHARD (CNM) – Advanced Practice Midwife, NPI 1003884685
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
55 CERTIFIED NURSE MIDWIFE (CNM) in ME
Provider Addresses for BONNIE BOUCHARD (CNM)
163 Van Buren Rd Ste 4
Caribou, ME 047363567
Phone: (207) 498-6921
Fax: (207) 498-1697
Type: Location
40, Sawyer Road, Limestone, Aroostook County, Maine, 04750, United States
CARIBOU, ME 047360040
Phone: (207) 498-2359
Fax: (207) 498-3947
Type: Mailing
2300 SOUTHWOOD DR
NASHUA, NH 030631818
Phone: (603) 577-4000
Type: Location
Van Buren Road, Barretts, Caribou, Aroostook County, Maine, 04736, United States
CARIBOU, ME 047363567
Phone: (207) 498-6921
Fax: (207) 498-1697
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050907000581 | I | Certified Nurse Midwife (Cnm) | ME | TBD |
| I20240119003305 | I | Certified Nurse Midwife (Cnm) | MA | TBD |
| I20240727000243 | I | Certified Nurse Midwife (Cnm) | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04736)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Addiction Medicine | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Physician Assistant | NC | |
| Family Practice | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| Family Practice | MA |
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