INTEGRATIVE THERAPIES FOR CANCER & CHRONIC DISEASE INC
NPI 1063851046
Nurse Practitioner - Family in Portland, ME
About Integrative Therapies For Cancer & Chronic Disease Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATIVE THERAPIES FOR CANCER & CHRONIC DISEASE INC (NPI 1063851046) is a healthcare organization registered as a family in Portland, Maine and active in the NPI registry since June 2013. The organization lists Colleen Tetzlaff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrative Therapies For Cancer & Chronic Disease Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrative Therapies For Cancer & Chronic Disease Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Integrative Therapies For Cancer & Chronic Disease Inc's NPI number?
The NPI number for Integrative Therapies For Cancer & Chronic Disease Inc is 1063851046. It was assigned to this organization in the NPPES registry on June 23, 2013.
Where is Integrative Therapies For Cancer & Chronic Disease Inc located?
Integrative Therapies For Cancer & Chronic Disease Inc is located at 222 Auburn St Ste 103, Portland, ME 04103. The listed phone number is (207) 699-3838.
What is Integrative Therapies For Cancer & Chronic Disease Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Integrative Therapies For Cancer & Chronic Disease Inc enrolled in Medicare?
Yes. Integrative Therapies For Cancer & Chronic Disease Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrative Therapies For Cancer & Chronic Disease Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrative Therapies For Cancer & Chronic Disease Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrative Therapies For Cancer & Chronic Disease Inc was last updated on May 22, 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.
# Integrative Therapies For Cancer & Chronic Disease Inc · NPI 1063851046
Family organization in Portland, Maine. Organization record, active in the CMS NPPES registry since June 23, 2013.
## Identity
- **NPI:** 1063851046 (Entity type: Organization)
- **Enumerated:** June 23, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Colleen Tetzlaff, OWNER
## Practice location
- **Address:** 222 AUBURN ST STE 103, Portland, ME 04103-6005
- **Phone:** (207) 699-3838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2019
- **Other identifiers:** Medicaid 432379199 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1063851046) · Data from the CMS NPPES public registry.