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BE WELL MY FRIEND LLC
NPI 1104250158
Family Medicine in Augusta, ME

Active since August 27, 2013CLIA 20D2069606 · Waiver
12 SHUMAN AVE STE 6, AUGUSTA, ME 04330(207) 307-0958(207) 512-5909 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Be Well My Friend Llc NPPES

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

BE WELL MY FRIEND LLC (NPI 1104250158) is a healthcare organization registered as a family medicine in Augusta, Maine and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Michael D Dufresne, Owner, as its authorized official.

NPPES Registry Identity

NPI1104250158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBE WELL MY FRIEND LLC
Location Address12 SHUMAN AVE STE 6Augusta, ME 04330-6020
Mailing Address12 Shuman Ave Ste 6Augusta, ME 04330-6020 · (207) 307-0958 · Fax (207) 512-5909
Phone(207) 307-0958
Fax(207) 512-5909
Organization SubpartNo
Authorized OfficialMichael D DufresneOwner · (207) 307-0958
Enumeration DateAugust 27, 2013
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1104250158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 2105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12 SHUMAN AVE STE 6, Augusta, ME 04330
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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)

Be Well My Friend Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Be Well My Friend LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Family Practice3
Clinical Social Worker1
Pediatric Medicine1

Clinicians, nearest first (11)

Michael Dufresne, DO
Family Practice
NPI 1568579696
12 SHUMAN AVE STE 6
Augusta, ME 04330
(207) 307-0958
✔ PECOS✔ Accepts MedicareSame address
Elena Nechepurenko, PMHNP
Nurse Practitioner
NPI 1669184602
12 SHUMAN AVE STE 6
Augusta, ME 04330
(207) 307-0958
✔ PECOSSame address
Ashton Piers, FNP
Nurse Practitioner
NPI 1972023927
12 SHUMAN AVE # 5
Augusta, ME 04330
(185) 523-9355
✔ PECOS✔ Accepts MedicareSame address
Jessica Donovan, FNP-BC
Nurse Practitioner
NPI 1285344523
12 SCHUMAN AVE
Augusta, ME 04330
(207) 307-0958
✔ PECOS✔ Accepts Medicare2.3 mi
Brett Adell
Clinical Social Worker
NPI 1841521226
331 PINE ST
Lewiston, ME 04240
(207) 344-6290
✔ PECOS✔ Accepts Medicare24 mi
Samuel Moss, DO
Family Practice
NPI 1194177758
76 HIGH ST
Lewiston, ME 04240
(207) 795-2800
✔ PECOS25 mi
Kevin Kenerson, DO
Family Practice
NPI 1043401672
174 S FREEPORT RD SUITE 2A
Freeport, ME 04032
(855) 239-3556
✔ PECOS✔ Accepts Medicare38 mi
Julie Franklin
Nurse Practitioner
NPI 1851762587
259 MAIN ST
Yarmouth, ME 04096
(207) 846-9013
✔ PECOS✔ Accepts Medicare40 mi
Angela Branda, D.O.
Pediatric Medicine
NPI 1710173133
295 FOREST AVE 2R
Portland, ME 04101
(207) 772-5437
✔ PECOS✔ Accepts Medicare51 mi
Kateri Jeffery, FNP-BC
Nurse Practitioner
NPI 1649889874
50 SEWALL ST
Portland, ME 04102
(207) 775-3526
✔ PECOS✔ Accepts Medicare52 mi
Erin Gallagher, FNP
Nurse Practitioner
NPI 1467059592
100 BRICKHILL AVE STE 201
South Portland, ME 04106
(207) 773-1728
✔ PECOS✔ Accepts Medicare53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2069606

Be Well My Friend, LLC · Augusta, ME
Active · expires Apr 6, 2027
CLIA Number20D2069606
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorMichael D. Dufresne
Laboratory Phone(207) 307-0958
Laboratory LocationBe Well My Friend, LLC12 Shuman Ave Suite 6, Augusta, ME 04330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Be Well My Friend LLC's NPI number?

The NPI number for Be Well My Friend LLC is 1104250158. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is Be Well My Friend LLC located?

Be Well My Friend LLC is located at 12 Shuman Ave Ste 6, Augusta, ME 04330. The listed phone number is (207) 307-0958.

What is Be Well My Friend LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Be Well My Friend LLC enrolled in Medicare?

Yes. Be Well My Friend LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Be Well My Friend LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Be Well My Friend LLC. 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 (6), Family Practice (3) and Clinical Social Worker (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Be Well My Friend LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2069606) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Be Well My Friend LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.