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

MS. Nan M Boucher, ANP

Individual provider Gerontology Nurse Practitioner · NPI 1033157227

MS. Nan M Boucher, ANP is a Nurse Practitioner in Lewiston, Maine. Qualified in 2003, 23 years ago. Practices with Mercy Hospital, a 308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2006
Specialties on file
2

Practice location Address checks out

99 Campus Ave Ste 201
Lewiston, ME 04240-6045
Phone: (207) 777-8810
Fax: (207) 777-8155
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP81044 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP081044 (ME)

Record details

NPI number1033157227
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mercy Hospital — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lewiston