RAVIN ASHLEY BUSSIERE DO
NPI 1063355725
Student in an Organized Health Care Education/Training Program in Bangor, ME

Q: What is Ravin Bussiere's NPI number?

The NPI number for Ravin Bussiere is 1063355725. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Ravin Bussiere's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ravin Bussiere was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 09, 2026PECOS Enrolled

895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Ravin Ashley Bussiere Do NPPES

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

RAVIN ASHLEY BUSSIERE DO (NPI 1063355725) is an individual student in an organized health care education/training program in Bangor, Maine and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063355725

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRAVIN ASHLEY BUSSIERECredential: DO

Location Address895 UNION ST STE 12Bangor, ME 04401-3054

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042

Phone(207) 973-7979

Fax(207) 947-9579

Sole ProprietorNo

Enumeration DateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1063355725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

895 UNION ST STE 12, Bangor, ME 04401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravin Ashley Bussiere Do 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.

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.

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