Individual provider Active NPI

Sarah Tyler Boyne, NP

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1104087212
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081910 Issued in ME
Practice address
155 Fore River Pkwy
Portland, ME 04102-2795
Phone
(207) 893-0290
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospital 307 clinicians

Practice addresses (Care Compare)

144 State St
Portland, ME 04101-3776
Phone (207) 879-3190

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000109 ME Practitioner - Nurse Practitioner 6305904194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP081910MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Jun 18, 2008 Accepting new patients
Mercy Hospital CurrentSince Jun 18, 2008 Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

931 Union St
Fl 3
Bangor, ME 04401

155 Fore River Pkwy
Portland, ME 04102
Phone (207) 535-1100

155 Fore River Pkwy
Ste 130
Portland, ME 04102
Phone (207) 535-1100

25 Long Creek Dr
South Portland, ME 04106
Phone (207) 535-1100

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP081910 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

155 Fore River Pkwy
Portland, ME 04102-2795

Mailing address

25 Long Creek Dr
South Portland, ME 04106-2440
Phone (207) 535-1100

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
433881099MedicaidME
P00694062OtherMERAILROAD MEDICARE

Other names 1

NPPES NPI Registry
  • Sarah E Boyne Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2024.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1104087212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LONG CREEK DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062440",
            "telephone_number": "207-535-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FORE RIVER PKWY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022795",
            "telephone_number": "207-893-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNE",
        "first_name": "SARAH",
        "middle_name": "TYLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433881099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00694062",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BOYNE",
            "middle_name": "E",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.