MS. NAN M BOUCHER (ANP) – Gerontology Nurse Practitioner, NPI 1033157227
Gerontology Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
1,871 NURSE PRACTITIONER in ME
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Provider Addresses for MS. NAN M BOUCHER (ANP)
PO BOX 95000 LBX 7650
PHILADELPHIA, PA 191950001
Phone:
Type: Mailing
99, Campus Avenue, Lewiston, Androscoggin County, Maine, 04240, United States
SUITE 201
LEWISTON, ME 042406045
Phone: (207) 777-8810
Fax: (207) 777-8155
Type: Location
Lewiston Post Office, 4165, Salling Avenue, Lewiston, Albert Township, Montmorency County, Michigan, 49756, United States
LEWISTON, ME 042437291
Phone: (207) 777-8950
Fax: (207) 777-8800
Type: Mailing
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: 2006-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060718000067 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 19195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| - | ME | |
| H O S P I T A L I S T | ME | |
| - | VT | |
| - | ME | |
| - | ME | |
| Family Practice | ME | |
| - | ME | |
| Nurse Practitioner | NY | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
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