EASTPORT HEALTH CARE, INC.
NPI 1093752917
Clinic/Center - Federally Qualified Health Center (FQHC) in Eastport, ME
About Eastport Health Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTPORT HEALTH CARE, INC. (NPI 1093752917) is a healthcare organization registered as a federally qualified health center (fqhc) in Eastport, Maine and active in the NPI registry since May 2006. The organization lists Ellen Krajewski, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastport Health Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Eastport Health Care, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 23Source: 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 Eastport Health Care, Inc.'s NPI number?
The NPI number for Eastport Health Care, Inc. is 1093752917. It was assigned to this organization in the NPPES registry on May 31, 2006.
Where is Eastport Health Care, Inc. located?
Eastport Health Care, Inc. is located at 30 Boynton St, Eastport, ME 04631. The listed phone number is (207) 853-6001.
What is Eastport Health Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Eastport Health Care, Inc. enrolled in Medicare?
Yes. Eastport Health Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastport Health Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 9 Medicare specialties reassign their Medicare billing to Eastport Health Care, 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. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (4) and Family Practice (4). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eastport Health Care, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Eastport Health Care, Inc. 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 Eastport Health Care, Inc. was last updated on July 28, 2020. 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.
# Eastport Health Care, Inc. · NPI 1093752917
Federally Qualified Health Center (FQHC) organization in Eastport, Maine. Organization record, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1093752917 (Entity type: Organization)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ellen Krajewski, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 30 BOYNTON ST, Eastport, ME 04631-1306
- **Phone:** (207) 853-6001 · **Fax:** (207) 853-4028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (4), Family Practice (4); 4 practice at this address; [full list](https://npiprofile.com/npi/1093752917/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2020
- **Other identifiers:** Other 7588080001; Medicaid 108830000 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1093752917) · Data from the CMS NPPES public registry.