PASSAMAQUODDY HEALTH CENTER
NPI 1205952140
Clinic/Center - Federally Qualified Health Center (FQHC) in Princeton, ME
About Passamaquoddy Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSAMAQUODDY HEALTH CENTER (NPI 1205952140) is a healthcare organization registered as a federally qualified health center (fqhc) in Princeton, Maine and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Andrea M Hanson, Compliance Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Passamaquoddy Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Passamaquoddy Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
Indiana Township, ME 04668
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 20D0666670
Passamaquoddy Health Center · Princeton, MEFrequently 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 Indian Township Tribal Government's NPI number?
The NPI number for Indian Township Tribal Government is 1205952140. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Passamaquoddy Health Center.
Where is Indian Township Tribal Government located?
Indian Township Tribal Government is located at 401 Peter Dana Point Road, Princeton, ME 04668. The listed phone number is (207) 796-2321.
What is Indian Township Tribal Government's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Indian Township Tribal Government enrolled in Medicare?
Yes. Indian Township Tribal Government is registered in the Medicare PECOS enrollment system.
When is Indian Township Tribal Government's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Indian Township Tribal Government?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Indian Township Tribal Government. 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), Clinical Social Worker (1) and Dentist (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Indian Township Tribal Government hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D0666670) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Indian Township Tribal Government accept?
Health plans from Anthem Blue Cross and Blue Shield list Indian Township Tribal Government 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 Indian Township Tribal Government was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Passamaquoddy Health Center · NPI 1205952140
Federally Qualified Health Center (FQHC) organization in Princeton, Maine. Organization record, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1205952140 (Entity type: Organization)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Indian Township Tribal Government
- **Organization subpart:** Yes (part of Passamaquoddy Health Center)
- **Authorized official:** Andrea Hanson, COMPLIANCE SPECIALIST
## Practice location
- **Address:** 401 PETER DANA POINT ROAD, Princeton, ME 04668-0097
- **Phone:** (207) 796-2321 · **Fax:** (207) 796-2422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (1), Dentist (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2020
- **Other identifiers:** Medicaid 107940000 (ME)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205952140) · Data from the CMS NPPES public registry.