Individual provider Active NPI

Kaitlin Bouley, MS, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Merrimack, NH
National Provider Identifier
1396254470
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
060601-23 Issued in NH
Practice address
7 Executive Park Dr
Merrimack, NH 03054-4058
Phone
(603) 882-2941
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 060601-23 NH Primary

Addresses

Primary practice location

7 Executive Park Dr
Merrimack, NH 03054-4058

Mailing address

7 Executive Park Dr
Merrimack, NH 03054-4058
Phone (603) 882-2941

Other names 1

  • Miss Kaitlin Chesnulevich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN271153MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Catholic Medical Center CurrentSince Apr 1, 2019 Accepting new patients

Locations

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1396254470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544058",
            "telephone_number": "603-882-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544058",
            "telephone_number": "603-882-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULEY",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "060601-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "CHESNULEVICH",
            "prefix": "MISS",
            "credential": "BS, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.