LORRAINE WARE RIOUX ANP
NPI 1164721874
Nurse Practitioner - Psychiatric/Mental Health in Biddeford, ME

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005(207) 283-7454(207) 283-7476 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lorraine Ware Rioux Anp NPPES

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

LORRAINE WARE RIOUX ANP (NPI 1164721874) is an individual psychiatric/mental health provider in Biddeford, Maine, licensed in Maine (AP111010) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1164721874
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORRAINE WARE RIOUXCredential: ANP
Location Address1 MEDICAL CENTER DRBiddeford, ME 04005-9422
Mailing AddressPo Box 10187Albany, NY 12201-5187 · (207) 777-4111 · Fax (207) 783-6660
Fax(207) 283-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 21, 2011
Last NPPES UpdateAugust 7, 2019
✔ NPI 1164721874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · AP111010
1 MEDICAL CENTER DR, Biddeford, ME 04005

Secondary Practice Location 1

Location 1100 Campus Ave, Suite 208Lewiston, ME 04240-6040 · Phone (207) 777-8974 · Fax (207) 777-8946

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorraine Ware Rioux Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931371812
PECOS Enrollment IDI20111019000409
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 Lorraine Rioux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Occupational Therapist
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Occupational Therapist
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Emergency Medicine
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005

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 Lorraine Rioux's NPI number?

The NPI number for Lorraine Rioux is 1164721874. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Lorraine Rioux located?

Lorraine Rioux practices at 1 Medical Center Dr, Biddeford, ME 04005. The listed phone number is (207) 283-7454.

What is Lorraine Rioux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lorraine Rioux enrolled in Medicare?

Yes. Lorraine Rioux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lorraine Rioux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Rioux reassigns Medicare benefits to 2 organizations: Mainehealth (Biddeford, ME) and Webber Hospital Association (Biddeford, 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 Lorraine Rioux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorraine Rioux accept?

Health plans from Anthem Blue Cross and Blue Shield list Lorraine Rioux 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.

Is Lorraine Rioux affiliated with any hospitals?

According to CMS data, Lorraine Rioux is affiliated with Mid Coast Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Rioux was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.