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BUCKSPORT REGIONAL HEALTH CENTER
NPI 1043271133
Clinic/Center - Federally Qualified Health Center (FQHC) in Bucksport, ME

Active since March 29, 2006CLIA Certified · 2 labs
110 BROADWAY, BUCKSPORT, ME 04416(207) 469-7371 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Mar 6, 2020, Sep 12, 2018 (3 updates tracked since 2018).

About Bucksport Regional Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKSPORT REGIONAL HEALTH CENTER (NPI 1043271133) is a healthcare organization registered as a federally qualified health center (fqhc) in Bucksport, Maine and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Ellsworth, and lists Carol Carew, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043271133
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBUCKSPORT REGIONAL HEALTH CENTER
Location Address110 BROADWAYBucksport, ME 04416
Mailing Address110 BroadwayBucksport, ME 04416 · (207) 469-7371
Phone(207) 469-7371
Organization SubpartNo
Authorized OfficialCarol CarewCeo · (207) 469-7371
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1043271133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in ME · 20D0714964
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 20D0714964 (ME)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 20D0714964 (ME)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20D0714964 (ME)
110 BROADWAY, Bucksport, ME 04416
Open in Google Maps ↗

Secondary Practice Location 1

Location 137 Commerce ParkEllsworth, ME 04605-3383 · Phone (207) 469-7371 · Fax (207) 469-7306

Other Identifiers 1

Medicaid168130000ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bucksport Regional Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20041208000938Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Bucksport Regional Health Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner15
Clinical Social Worker6
Family Practice6
Diagnostic Radiology4
Dentist3
Clinical Psychologist1
General Practice1
Internal Medicine1
3 other specialties3

Nearest to this location (20)

See all 40
Craig Benson, D.O.
General Practice
NPI 1790873123
110 BROADWAY
Bucksport, ME 04416
(074) 697-3712
✔ PECOS✔ Accepts MedicareSame address
Megan Light, FNP
Nurse Practitioner
NPI 1285392951
110 BROADWAY
Bucksport, ME 04416
(615) 212-0920
✔ PECOS✔ Accepts MedicareSame address
Cindy Pepper, MD
Family Practice
NPI 1104867290
110 BROADWAY
Bucksport, ME 04416
(207) 469-7371
✔ PECOS✔ Accepts MedicareSame address
Heidi Shawley, FNP-C
Nurse Practitioner
NPI 1053805309
110 BROADWAY
Bucksport, ME 04416
(207) 469-7371
✔ PECOS✔ Accepts MedicareSame address
Sara Willey, APRN
Nurse Practitioner
NPI 1295101129
110 BROADWAY
Bucksport, ME 04416
(207) 469-7371
✔ PECOS✔ Accepts MedicareSame address
Timothy Clifford, M.D.
Family Practice
NPI 1033154281
110 BROADWAY
Bucksport, ME 04416
(207) 469-7371
✔ PECOS✔ Accepts MedicareSame address
Shubhrang Biswas, M.D.
Family Practice
NPI 1366403412
110 BROADWAY
Bucksport, ME 04416
(207) 469-7371
✔ PECOS✔ Accepts MedicareSame address
Khanh Doan, DMD
Dentist
NPI 1932992252
761 WESTERN AVE UNIT 23
Hampden, ME 04444
(858) 333-2254
✔ PECOS14 mi
David Harlan, LCSW
Clinical Social Worker
NPI 1780776179
710 BUCKSPORT RD
Ellsworth, ME 04605
(207) 667-6890
✔ PECOS✔ Accepts Medicare14 mi
Thomas Bugbee, MD
Family Practice
NPI 1326082405
57 WATER STREET
Blue Hill, ME 04614
(207) 374-2311
✔ PECOS✔ Accepts Medicare15 mi
Stacey Henner Walden, DO
Family Practice
NPI 1548204183
57 WATER ST
Blue Hill, ME 04614
(207) 374-2311
✔ PECOS✔ Accepts Medicare15 mi
Jonathan Heeren, PH.D
Clinical Psychologist
NPI 1598795734
489 STATE ST
Bangor, ME 04401
(207) 973-7556
✔ PECOS✔ Accepts Medicare16 mi
Michelle Pickoski, FNPC
Nurse Practitioner
NPI 1326610551
915 UNION ST
Bangor, ME 04401
(207) 973-8030
✔ PECOS✔ Accepts Medicare16 mi
Julie Lamoreau, LCSW
Clinical Social Worker
NPI 1326149782
992 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare17 mi
Mary Jude, FNP
Nurse Practitioner
NPI 1720183007
1048 UNION ST., STE 5
Bangor, ME 04401
(207) 945-5247
✔ PECOS17 mi
John Bradford, M.D.
Orthopedic Surgery
NPI 1093791964
925 UNION ST STE 3
Bangor, ME 04401
(207) 973-9980
✔ PECOS✔ Accepts Medicare17 mi
Anthony Posuniak, FNP-BC
Nurse Practitioner
NPI 1437723764
543 BROADWAY
Bangor, ME 04401
(207) 922-1300
✔ PECOS✔ Accepts Medicare17 mi
Anna Titcomb
Registered Dietitian or Nutrition Professional
NPI 1689130494
194 MAIN ST STE 104
Ellsworth, ME 04605
(207) 813-4792
18 mi
Nicholas Vachon, DPM
Podiatry
NPI 1245247139
318 MAIN ST
Ellsworth, ME 04605
(207) 667-2523
✔ PECOS✔ Accepts Medicare18 mi
Stephen Nightingale, M.D.
Internal Medicine
NPI 1538140520
33 SEAVEYS WAY # 2
Ellsworth, ME 04605
(207) 667-2422
✔ PECOS✔ Accepts Medicare19 mi
See all 40 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 20D0089544

Bucksport Regional Health Center · Bucksport, ME
Active · expires Mar 28, 2028
CLIA Number20D0089544
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorMayur Movalia
Laboratory Phone(207) 469-7371
Laboratory LocationBucksport Regional Health Center110 Broadway, Bucksport, ME 04416
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 20D2092838

Bucksport Regional Health Center · Bucksport, ME
Active · expires Mar 15, 2027
CLIA Number20D2092838
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorStacey L. Henner Walden
Laboratory Phone(207) 469-7371
Laboratory LocationBucksport Regional Health Center110 Broadway, Bucksport, ME 04416
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bucksport Regional Health Center's NPI number?

The NPI number for Bucksport Regional Health Center is 1043271133. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Bucksport Regional Health Center located?

Bucksport Regional Health Center is located at 110 Broadway, Bucksport, ME 04416. The listed phone number is (207) 469-7371.

What is Bucksport Regional Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Bucksport Regional Health Center enrolled in Medicare?

Yes. Bucksport Regional Health Center is registered in the Medicare PECOS enrollment system.

When is Bucksport Regional Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bucksport Regional Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 11 Medicare specialties reassign their Medicare billing to Bucksport Regional Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Clinical Social Worker (6) and Family Practice (6). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bucksport Regional Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bucksport Regional Health Center accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Bucksport Regional Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bucksport Regional Health Center was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.