Individual provider Active NPI

Katelyn A Bolduc, FNP

  • Family Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1548647225
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP151076 Issued in ME
Practice address
81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765
Phone
(207) 721-8333
Fax
(207) 618-5670
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP151076 ME Primary

Addresses

Primary practice location

81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765

Mailing address

81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765
Phone (207) 721-8333

Other practice location 1

25 First Park Dr
Oakland, ME 04963-5369
Phone (207) 465-4000

Other names 1

  • Katelyn Rasche Former name

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
I20150918000763 ME Practitioner - Nurse Practitioner 9830406107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP151076MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2023 Accepting new patients

Locations

236 Townsend Ave
Boothbay Hbr, ME 04538
Phone (207) 633-1540

81 Medical Center Dr
Ste 2200
Brunswick, ME 04011
Phone (207) 406-7290

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

25 First Park Dr
Oakland, ME 04963
Phone (207) 465-2181

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: kbolduc123025@direct.mmc.mainehealth.org

Organizations & group practices 5

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1548647225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-8333",
            "fax_number": "207-618-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-8333",
            "fax_number": "207-618-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 First Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "ME",
            "postal_code": "049635369",
            "country_code": "US",
            "telephone_number": "207-465-4000",
            "fax_number": "207-465-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "KATELYN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP151076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "RASCHE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.