Active NPI
Andrea Bouchard, CRNA
- Certified Registered Nurse Anesthetist
- Fort Kent, ME
National Provider Identifier
1114386554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA163028
- Practice address
- 194 E Main St
Fort Kent, ME 04743-1428 - Phone
- (207) 834-3155
- Fax
- (207) 834-2949
- NPI assigned
- Feb 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RN57585 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA163028 | ME | Primary |
Addresses
Primary practice location
194 E Main St
Fort Kent, ME 04743-1428
Mailing address
194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 316-6114
Other names 1
- Andrea Cyr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.42 of 100
- Quality
- 52.16
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 67.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN57585 | ME | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients |
Locations
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- abouchard2@yourcarecommunity.org
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575072000000",
"number": "1114386554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 E MAIN ST",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431428",
"telephone_number": "207-834-3155",
"fax_number": "207-834-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 E MAIN ST",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431428",
"telephone_number": "207-834-3155",
"fax_number": "207-834-2949"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-316-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUCHARD",
"first_name": "ANDREA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-13",
"last_updated": "2019-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "RN57585",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA163028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CYR",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Kent, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.