Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kati Lyn Boucher, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760904734

Kati Lyn Boucher, PMHNP-BC is a Nurse Practitioner in Bangor, Maine. Qualified in 2017, 9 years ago. Practices with Maine Coast Regional Health Facilities, a 72-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2017
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP171090 (ME)

Record details

NPI number1760904734
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESJuly 12, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Maine Coast Regional Health Facilities — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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