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ERIN R VAN WAGENEN MD
NPI 1124314513
Pediatrics in Lewiston, ME

Active since June 23, 2011PECOS Enrolled
12 HIGH ST STE 302, LEWISTON, ME 04240(207) 795-5730(207) 795-5749 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erin R Van Wagenen Md NPPES

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

ERIN R VAN WAGENEN MD (NPI 1124314513) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (MD20134) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124314513
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERIN R VAN WAGENENCredential: MD
Location Address12 HIGH ST STE 302Lewiston, ME 04240-7690
Mailing Address12 High St Ste 302Lewiston, ME 04240-7690 · (207) 795-5730 · Fax (207) 795-5749
Phone(207) 795-5730
Fax(207) 795-5749
Sole ProprietorNo
Enumeration DateJune 23, 2011
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1124314513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD20134
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12 HIGH ST STE 302, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin R Van Wagenen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Erin Van Wagenen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center
0.1 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Bridgton Hospital
25 mi
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
NPI 1154370153 (207) 795-5709

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 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBIA AHMED MD
Pediatrics
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
SUZANNE F STEVENSON NP
Nurse Practitioner (Family)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
KIMBERLEE HAMILTON
Social Worker (Clinical)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
SOKHARATH KELLER FNP-BC
Nurse Practitioner (Family)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5750
ZACHARY J NEWTON MD
Pediatrics
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730

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 Erin Van Wagenen's NPI number?

The NPI number for Erin Van Wagenen is 1124314513. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Erin Van Wagenen located?

Erin Van Wagenen practices at 12 High St Ste 302, Lewiston, ME 04240. The listed phone number is (207) 795-5730.

What is Erin Van Wagenen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erin Van Wagenen enrolled in Medicare?

Yes. Erin Van Wagenen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erin Van Wagenen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Van Wagenen reassigns Medicare benefits to 2 organizations: Central Maine Medical Center (Lewiston, ME) and Bridgton Hospital (Bridgton, ME). Each 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 Erin Van Wagenen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Van Wagenen accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Erin Van Wagenen 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 Erin Van Wagenen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.