DR. LUCILLE JEAN POULIN MD
NPI 1144269150
Family Medicine in Ellsworth, ME

Active since June 05, 2006Opted out of Medicare · through Jan 8, 2028
32 RESORT WAY, ELLSWORTH FAMILY PRACTICE, ELLSWORTH, ME 04605(207) 664-7770(207) 664-7723 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lucille Jean Poulin Md NPPES

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

DR. LUCILLE JEAN POULIN MD (NPI 1144269150) is an individual family medicine provider in Ellsworth, Maine, licensed in Maine (014565) and active in the NPI registry since June 2006. She has opted out of Medicare through January 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144269150
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUCILLE JEAN POULINCredential: MD
Location Address32 RESORT WAY, ELLSWORTH FAMILY PRACTICEEllsworth, ME 04605
Mailing Address50 Union St, Ellsworth Family PracticeEllsworth, ME 04605-1534 · (207) 664-7770 · Fax (207) 664-7723
Fax(207) 664-7723
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 18, 2010
NPI 1144269150 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 · 014565
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.
32 RESORT WAY, Ellsworth, ME 04605

Other Identifiers 5

Medicare PINMM684201
Medicare UPINF88971
Medicaid245160099ME
Medicare ID-Type UnspecifiedMM6842
Medicare PINMM684202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lucille Jean Poulin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04605 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 20

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

Family Medicine
32 RESORT WAY
ELLSWORTH, ME 04605
Nurse Practitioner (Gerontology)
32 RESORT WAY
ELLSWORTH, ME 04605
Internal Medicine
32 RESORT WAY
ELLSWORTH, ME 04605
Family Medicine (Adult Medicine)
32 RESORT WAY
ELLSWORTH, ME 04605
Pediatrics
32 RESORT WAY, MAINE COAST PEDIATRICS
ELLSWORTH, ME 04605
Dietitian, Registered (Nutrition, Oncology)
32 RESORT WAY
ELLSWORTH, ME 04605
Physician Assistant
32 RESORT WAY
ELLSWORTH, ME 04605
Family Medicine
32 RESORT WAY, ELLSWORTH FAMILY PRACTICE
ELLSWORTH, ME 04605

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 Lucille Poulin's NPI number?

The NPI number for Lucille Poulin is 1144269150. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Lucille Poulin located?

Lucille Poulin practices at 32 Resort Way Ellsworth Family Practice, Ellsworth, ME 04605. The listed phone number is (207) 664-7770.

What is Lucille Poulin's specialty?

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

Is Lucille Poulin enrolled in Medicare?

No. Lucille Poulin has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lucille Poulin was last updated on May 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.