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JOSEE PROULX MD
NPI 1043732860
Family Medicine in Augusta, ME

Active since July 13, 2017PECOS Enrolled
100/100
CMS Quality Rating
15 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-1561(207) 626-1849 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 31, 2019, Jul 13, 2017 (2 updates tracked since 2017).

About Josee Proulx Md NPPES

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

JOSEE PROULX MD (NPI 1043732860) is an individual family medicine provider in Augusta, Maine, licensed in Maine (EC171050) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043732860
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEE PROULXCredential: MD
Location Address15 E CHESTNUT STAugusta, ME 04330-5736
Mailing Address15 E Chestnut StAugusta, ME 04330-5736 · (207) 626-1561 · Fax (207) 626-1849
Phone(207) 626-1561
Fax(207) 626-1849
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateMay 31, 20192 updates tracked since enumeration
✔ NPI 1043732860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · EC171050
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 E CHESTNUT ST, Augusta, ME 04330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josee Proulx Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Josee Proulx reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainegeneral Medical Center
3.4 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454
Emergency Medicine Services Of Maine, LLC
69 mi
Emergency Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 167 clinicians in this Medicare group
NPI 1578032058 (207) 664-5311

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services141 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
67 services65 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE M K ANDERSON MD
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
KELLY ANDERSON
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
RACHEL THOMAS
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHERYL K SEYMOUR MD
Family Medicine (Geriatric Medicine)
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHARMAINE SILVEIRA DA GRACA COSTA
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
NATHANIEL BOWLING
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
SYDNEY R SEWALL MD
Pediatrics
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
THERESE MCCARTHY
Nurse Practitioner (Psychiatric/Mental Health)
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561

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 Josee Proulx's NPI number?

The NPI number for Josee Proulx is 1043732860. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Josee Proulx located?

Josee Proulx practices at 15 E Chestnut St, Augusta, ME 04330. The listed phone number is (207) 626-1561.

What is Josee Proulx's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Josee Proulx enrolled in Medicare?

Yes. Josee Proulx is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Josee Proulx's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josee Proulx reassigns Medicare benefits to 2 organizations: Mainegeneral Medical Center (Augusta, ME) and Emergency Medicine Services Of Maine, LLC (Ellsworth, ME). Each 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 Josee Proulx's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Josee Proulx was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.