IVY A G TODD PNPC
NPI 1073112561
Nurse Practitioner - Pediatrics in Bangor, ME
About Ivy A G Todd Pnpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY A G TODD PNPC (NPI 1073112561) is an individual pediatrics provider in Bangor, Maine, licensed in Maine (CNP211246) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivy A G Todd Pnpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ivy Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 144 clinicians in this Medicare group
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 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ivy Todd's NPI number?
The NPI number for Ivy Todd is 1073112561. It was assigned to this individual provider in the NPPES registry on October 26, 2020.
Where is Ivy Todd located?
Ivy Todd practices at 6 Telcom Dr, Bangor, ME 04401. The listed phone number is (207) 947-0147.
What is Ivy Todd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ivy Todd enrolled in Medicare?
Yes. Ivy Todd is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ivy Todd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Todd reassigns Medicare benefits to Penobscot Community Health Center (Bangor, 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 Ivy Todd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivy Todd accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Ivy Todd 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 Ivy Todd was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ivy A G Todd, PNPC · NPI 1073112561
Pediatrics physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1073112561 (Entity type: Individual)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** CNP211246 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 TELCOM DR, Bangor, ME 04401-3072
- **Phone:** (207) 947-0147 · **Fax:** (207) 990-3365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Penobscot Community Health Center (NPI 1285685628, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073112561) · Data from the CMS NPPES public registry.