RACHEL BOUTAUGH (FNP) – Family Nurse Practitioner, NPI 1235643990
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for RACHEL BOUTAUGH (FNP)
1930 MEDWAY RD
MEDWAY, ME 044603166
Phone: (207) 794-6700
Type: Mailing
800, West Magnolia Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044611
Phone: (817) 759-7000
Fax: (817) 759-7027
Type: Mailing
920, Santa Fe Drive, Weatherford, Parker County, Texas, 76086, United States
WEATHERFORD, TX 760865864
Phone: (817) 759-7000
Fax: (817) 759-7027
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $642.
Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($106).
Total Amount
$642
General + Research + Ownership
Payments
14
Total payment records
General Amount
$642
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $106 |
| Janssen Biotech, Inc. | $97 |
| Seagen Inc. | $93 |
| CTI BioPharma Corp. | $93 |
| Lilly USA, LLC | $78 |
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: 2024-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180228001759 | I | Nurse Practitioner | TX | TBD |
| I20240803000217 | I | Nurse Practitioner | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 784 | 270 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 671 | 230 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 466 | 302 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 367 | 167 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 340 | 126 | $0 |
Insurance plans in this area (ZIP 04460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| - | ME | |
| Clinical Social Worker | ME | |
| Physician Assistant | ME | |
| Qualified Speech Language Pathologist | MA | |
| Nurse Practitioner | WA | |
| O P T O M E T R Y | ME | |
| C H I R O P R A C T I C | ME | |
| Physician Assistant | VA | |
| Nurse Practitioner | TN |
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