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PENOBSCOT COMMUNITY HEALTH CENTER
NPI 1083259410
Clinic/Center - Federally Qualified Health Center (FQHC) in Bangor, ME

Active since November 08, 2019
1068 UNION ST, BANGOR, ME 04401(207) 404-8200 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Penobscot Community Health Center NPPES

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

PENOBSCOT COMMUNITY HEALTH CENTER (NPI 1083259410), doing business as Adult Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Bangor, Maine and active in the NPI registry since November 2019. The organization lists Lorelle Dwyer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083259410
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address1068 UNION STBangor, ME 04401-3016
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200
Phone(207) 404-8200
Organization SubpartNo
Authorized OfficialLorelle DwyerCeo · (207) 992-9200
Enumeration DateNovember 8, 2019
✔ NPI 1083259410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
1068 UNION ST, Bangor, ME 04401
Open in Google Maps ↗

Other Names 1

Doing Business AsAdult Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penobscot Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

144

Medicare enrollment records show 144 clinicians reassign Medicare billing to Penobscot Community Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner68
Clinical Social Worker27
Family Practice14
Mental Health Counselor10
Pediatric Medicine8
Qualified Audiologist6
Internal Medicine3
Psychiatry2
5 other specialties6

Nearest to this location (20)

See all 144
Jill Hunt, AGPCNP
Nurse Practitioner
NPI 1861053852
1068 UNION ST
Bangor, ME 04401
(207) 404-8181
✔ PECOS✔ Accepts MedicareSame address
Margaret Mcgalliard, WHNP
Nurse Practitioner
NPI 1164632014
1068 UNION ST
Bangor, ME 04401
(207) 404-8181
✔ PECOSSame address
Jennifer Spain, LCSW
Clinical Social Worker
NPI 1972835536
1068 UNION ST
Bangor, ME 04401
(207) 404-8181
✔ PECOS✔ Accepts MedicareSame address
David Loxterkamp, MD
Family Practice
NPI 1982789087
895 UNION ST STE 12
Bangor, ME 04401
(207) 973-7979
✔ PECOS✔ Accepts Medicare0.1 mi
Heath Myers, LCSW
Clinical Social Worker
NPI 1003330168
895 UNION ST STE 12
Bangor, ME 04401
(207) 973-7979
✔ PECOS✔ Accepts Medicare0.1 mi
Ottilia Boros, FNP-C
Nurse Practitioner
NPI 1821826371
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Paige Casey, CFNP
Nurse Practitioner
NPI 1114864030
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS0.2 mi
Kendra Emery, D.O.
Family Practice
NPI 1518283530
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Stephanie Hamlin, LCSW
Clinical Social Worker
NPI 1376995928
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Niamh Holohan, MD
Psychiatry
NPI 1902901283
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare0.2 mi
Patricia Mclain, LCPCC
Mental Health Counselor
NPI 1871218255
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Rebecca Mcmahan, LCPC
Mental Health Counselor
NPI 1427156538
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare0.2 mi
Rachel Solotaroff, MD
Internal Medicine
NPI 1568576122
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Laurie Yntema, MD
Internal Medicine
NPI 1508809500
992 UNION ST PENOBSCOT COMMUNITY HEALTH CENTER
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts Medicare0.2 mi
Jaime Barrall, AUD
Qualified Audiologist
NPI 1922538875
6 TELCOM DR FL 1
Bangor, ME 04401
(207) 941-2850
✔ Accepts Medicare0.4 mi
Amy Barrett, MD
Pediatric Medicine
NPI 1669411799
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ PECOS✔ Accepts Medicare0.4 mi
Aimee Beaton, DO
Pediatric Medicine
NPI 1245650605
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ PECOS✔ Accepts Medicare0.4 mi
Mellisa Bernardini, RD
Registered Dietitian or Nutrition Professional
NPI 1255678553
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ Accepts Medicare0.4 mi
Nicole Duncan, AUD
Qualified Audiologist
NPI 1699067553
6 TELCOM DR
Bangor, ME 04401
(207) 941-2850
✔ Accepts Medicare0.4 mi
Chuanbing Huo, SLP
Qualified Speech Language Pathologist
NPI 1124785746
6 TELCOM DR
Bangor, ME 04401
(207) 941-2850
0.4 mi
See all 144 clinicians

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 Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1083259410. It was assigned to this organization in the NPPES registry on November 8, 2019. The provider is doing business as Adult Wellness Center.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 1068 Union St, Bangor, ME 04401. The listed phone number is (207) 404-8200.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Penobscot Community Health Center enrolled in Medicare?

Yes. Penobscot Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 13 Medicare specialties reassign their Medicare billing to Penobscot Community Health Center. 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. The largest specialties are Nurse Practitioner (68), Clinical Social Worker (27) and Family Practice (14). Of these, 3 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.