Question 1

What type of a medical provider is Nan M Boucher?

Accepted Answer

Nan M Boucher is a Nurse Practitioner (Gerontology).

Question 2

Where does Nan M Boucher practice medicine?

Accepted Answer

Nan M Boucher has the following practice address:99 CAMPUS AVE, LEWISTON, ME 04240-6045

Question 3

Does this provider have a license number?

Accepted Answer

Nan M Boucher has 2 license numbers, including: License Number AP081044 issued in Maine.

Question 4

Does Nan M Boucher accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Nan M Boucher have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Nan M Boucher a member of any Medical Groups?

Accepted Answer

Nan M Boucher is affiliated with 2 medical groups in the LEWISTON area, including ST MARYS REGIONAL MEDICAL CENTER.

Question 7

Does Nan M Boucher participate in PECOS?

Accepted Answer

Yes, Nan M Boucher participates in PECOS.

Question 8

What phone number can I call to contact Nan M Boucher?

Accepted Answer

You can call the following number: (207)-777-8810

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Nan M Boucher.

Question 10

Is Nan M Boucher  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with 3 hospitals, including:

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 3 years ago (11/8/2022).

Type/Issuer	Identifier	State
MEDICAID	30347091	NH
MEDICAID	432184299	ME

Taxonomy	State	Primary?
Nurse Practitioner (Gerontology) - Taxonomy Code 363LG0600X	ME	Y
Nurse Practitioner (Gerontology) - Taxonomy Code 363LG0600X	ME	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20060718000067
PECOS Individual PAC ID:	6709892847
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Nan M Boucher

Overview