Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emily Boedeker

Individual provider Family Nurse Practitioner · NPI 1407657943

Emily Boedeker is a Nurse Practitioner in Portland, Maine. Qualified in 2024, 2 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2025

Practice location Address checks out

191 Marginal Way
Portland, ME 04101-3387
Phone: (207) 517-3838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP251080 (ME)

Record details

NPI number1407657943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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