1. Home
  2. Directory
  3. Maine
  4. Westbrook
  5. Nurse Practitioner
  6. NPI Profile

SAMUEL ACHA ACHA FNP-BC
NPI 1053832113
Nurse Practitioner - Family in Westbrook, ME

Active since June 29, 2017PECOS Enrolled
950 MAIN ST, WESTBROOK, ME 04092(207) 517-3800(207) 517-3819 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2023, Dec 20, 2019, Jun 29, 2017 (3 updates tracked since 2017).

About Samuel Acha Acha Fnp-bc NPPES

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

SAMUEL ACHA ACHA FNP-BC (NPI 1053832113) is an individual family provider in Westbrook, Maine, licensed in Maine (CNP171014) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053832113
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL ACHA ACHACredential: FNP-BC
Location Address950 MAIN STWestbrook, ME 04092-3067
Mailing AddressPo Box 986523Boston, MA 02298-6523 · (603) 410-6700 · Fax (603) 319-8308
Phone(207) 517-3800
Fax(207) 517-3819
Sole ProprietorNo
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1053832113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP171014
950 MAIN ST, Westbrook, ME 04092
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Acha Acha Fnp-bc 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 Reassignment

Medicare enrollment records show Samuel Acha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Convenientmd - Ffs Uc LLC
Same address
Urgent Care
950 MAIN ST
Westbrook, ME 04092
  • Reassigned Medicare billing, Maine enrollment
  • 106 clinicians in this Medicare group
NPI 1093406530 (207) 517-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 11

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

CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
CONVENIENTMD LLC
Clinic/Center (Radiology)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
ALYSSA DANIELLE MCCUE-MCCARTHY FNP-C
Nurse Practitioner (Family)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
CONVENIENTMD LLC
Clinic/Center (Infusion Therapy)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
MOLLY GRACE DUGRE FNP-C
Nurse Practitioner (Family)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
MRS. ASHLEY NICOLE MOODY FNP
Nurse Practitioner (Family)
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
KEIANA SKINNER PA
Physician Assistant
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800
SYDNEY RICKER PA-C
Physician Assistant
950 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 517-3800

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 Samuel Acha's NPI number?

The NPI number for Samuel Acha is 1053832113. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Samuel Acha located?

Samuel Acha practices at 950 Main St, Westbrook, ME 04092. The listed phone number is (207) 517-3800.

What is Samuel Acha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Acha enrolled in Medicare?

Yes. Samuel Acha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Acha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Acha reassigns Medicare benefits to Convenientmd - Ffs Uc LLC (Westbrook, ME). The 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 Samuel Acha'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 Samuel Acha was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.