GISELE M CASTONGUAY NP
NPI 1205089521
Nurse Practitioner in Lewiston, ME

Active since October 30, 2008PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
60 HIGH ST, LEWISTON, ME 04240(207) 795-2886(207) 795-8280 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gisele M Castonguay Np NPPES

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

GISELE M CASTONGUAY NP (NPI 1205089521) is an individual nurse practitioner in Lewiston, Maine, licensed in Maine (CNP81961) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205089521
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGISELE M CASTONGUAYCredential: NP
Location Address60 HIGH STLewiston, ME 04240-7616
Mailing Address60 High StLewiston, ME 04240-7616 · (207) 795-2886 · Fax (207) 795-8280
Fax(207) 795-8280
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 30, 2008
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1205089521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in ME · CNP81961 Licensed in OR · 10051311
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License CNP81961 (ME)
60 HIGH ST, Lewiston, ME 04240

Secondary Practice Locations 4

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7980 · Fax (207) 283-7793
Location 225A June St Ste 12Sanford, ME 04073-2642 · Phone (207) 490-7495 · Fax (207) 490-7499
Location 3875 Oak St SESalem, OR 97301-3975 · Phone (503) 814-1472
Location 4335 Brighton AvePortland, ME 04102-2363 · Phone (207) 662-4325 · Fax (207) 662-8068

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gisele M Castonguay Np 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 ID4880757863
PECOS Enrollment IDI20090117000072, I20251203000236
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

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.

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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers11 claims230 services$3.05 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers12 claims112 services$2.32 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
4 suppliers18 claims300 services$5.81 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims635 services$0.36 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims500 services$0.23 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims256 services$20.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
60 HIGH ST
LEWISTON, ME 04240
Physician Assistant
60 HIGH ST
LEWISTON, ME 04240
Surgery (Vascular Surgery)
60 HIGH ST, CMHVI-Y1
LEWISTON, ME 04240
Nurse Practitioner
60 HIGH ST
LEWISTON, ME 04240
Internal Medicine (Cardiovascular Disease)
60 HIGH ST
LEWISTON, ME 04240
Physician Assistant
60 HIGH ST
LEWISTON, ME 04240
Internal Medicine (Clinical Cardiac Electrophysiology)
60 HIGH ST
LEWISTON, ME 04240
Surgery (Vascular Surgery)
60 HIGH ST
LEWISTON, ME 04240

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 Gisele Castonguay's NPI number?

The NPI number for Gisele Castonguay is 1205089521. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Gisele Castonguay located?

Gisele Castonguay practices at 60 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2886.

What is Gisele Castonguay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gisele Castonguay enrolled in Medicare?

Yes. Gisele Castonguay 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.

What insurance does Gisele Castonguay accept?

Health plans from Moda Health Plan, Inc. list Gisele Castonguay 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 Gisele Castonguay affiliated with any hospitals?

According to CMS data, Gisele Castonguay is affiliated with Central Maine Medical Center, Rumford Hospital, Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Gisele Castonguay was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.