Brianna Boutin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP161075 Issued in ME

Practice address

19 Northbrook Dr
Falmouth, ME 04105-1381

Phone

(802) 523-3054

Fax

(207) 910-9620

NPI assigned

Jul 5, 2016

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brianna Mauro Former name

Electronic endpoints 1

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.

Opted out of Medicare

Yes, effective Oct 29, 2025 through Oct 29, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianna@beacondpc.com

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

• Integrative Health Services LLC

  • Chiropractor
  • Cape Elizabeth, ME
  • NPI 1740158385
  NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1962854786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051381",
            "telephone_number": "802-523-3054",
            "fax_number": "207-910-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051381",
            "telephone_number": "802-523-3054",
            "fax_number": "207-910-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "BRIANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP161075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianna@beacondpc.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Northbrook Dr",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041051381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "MAURO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzannarose Borg, MD
• Diane Connolly Borton, MS, PT
• Mark P. Bouchard, MD
• Christine Boucher, MS, CCC-SLP
• Maureen M Bourque, P.T.
• Anne Susan Boyd, MD
• Kristin E Brennan, LMT
• Rachel Brennan, LCSW
• Brighton Eye Care PA
• Joseph Reid Briglia, DPT

• Nurse Practitioner in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.