Individual provider

Ann Boomer, NNP

Neonatal Nurse Practitioner Neonatal-Perinatal Medicine Physician Medicare enrolled

Ann Boomer, NNP is a Neonatal Nurse Practitioner in Bangor, ME, registered under NPI 1245267335. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is NICU PROFESSIONAL SERVICES EMMC 489 STATE STREET, Bangor, ME 04401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

NICU PROFESSIONAL SERVICES EMMC 489 STATE STREET, Bangor, ME 04401 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
CNP81620 ME Neonatal Nurse Practitioner primary
R048086 ME Neonatal-Perinatal Medicine Physician
CNP81620 ME Neonatal-Perinatal Medicine Physician

This provider holds licence CNP81620 issued in ME. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8729044698
Enrollment ID
I20041203000035

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Neonatal covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LN0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Neonatal

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LN0000X Neonatal Nurse Practitioner Neonatal CNP81620 ME primary
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine R048086 ME
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine CNP81620 ME

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1245267335 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 26, 2006
Last updatedNov 5, 2024
StatusActive
Sole proprietorNo
CredentialNNP
Practice address NICU PROFESSIONAL SERVICES EMMC
489 STATE STREET
Bangor, ME 04401
(207) 973-8670
Fax (207) 973-5163
Mailing address 43 WHITING HILL RD STE 300
Brewer, ME 04412
This record was updated on Nov 5, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1245267335 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 4 5 2 6 7 3 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 8 5 4 6 5 3 6

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1245267335?
NPI 1245267335 is the National Provider Identifier assigned to Ann Boomer, NNP in Bangor, ME. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neonatal cover?
Definition to come...
How do I contact Ann Boomer, NNP?
The phone number on file with NPPES is (207) 973-8670, last updated Nov 5, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ann Boomer, NNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1245267335 a valid number?
Yes. 1245267335 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.