TORY ROUSE FNP-C
NPI 1265199913
Nurse Practitioner - Family in Houlton, ME
About Tory Rouse Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TORY ROUSE FNP-C (NPI 1265199913) is an individual family provider in Houlton, Maine, licensed in Maine (CNP211600) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Tory Rouse Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Tory Rouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houlton, ME 04730
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1508823741 (Maine)
- 169 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light A R Gould Hospital
Acute Care Hospitals · Presque Isle, MEHoulton Regional Hospital
Critical Access Hospitals · Houlton, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOULTON, ME 04730
HOULTON, ME 04730
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 Tory Rouse's NPI number?
The NPI number for Tory Rouse is 1265199913. It was assigned to this individual provider in the NPPES registry on November 17, 2021.
Where is Tory Rouse located?
Tory Rouse practices at 22 Hartford St, Houlton, ME 04730. The listed phone number is (207) 532-7936.
What is Tory Rouse's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tory Rouse enrolled in Medicare?
Yes. Tory Rouse 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 organization bills Medicare for Tory Rouse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tory Rouse reassigns Medicare benefits to Houlton Regional Hospital (Houlton, ME). The 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 Tory Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tory Rouse accept?
Health plans from Anthem Blue Cross and Blue Shield list Tory Rouse 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 Tory Rouse affiliated with any hospitals?
According to CMS data, Tory Rouse is affiliated with Northern Light A R Gould Hospital and Houlton Regional Hospital.
When was this NPI record last updated?
The NPPES record for Tory Rouse was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tory Rouse, FNP-C · NPI 1265199913
Family physician in Houlton, Maine. Individual provider, active in the CMS NPPES registry since November 17, 2021.
## Identity
- **NPI:** 1265199913 (Entity type: Individual)
- **Enumerated:** November 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP211600 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 HARTFORD ST, Houlton, ME 04730-1844
- **Phone:** (207) 532-7936 · **Fax:** (207) 532-7937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Houlton Regional Hospital (NPI 1386804268, Houlton, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265199913) · Data from the CMS NPPES public registry.