MRS. AUDRA LYNN DEBETHUNE WHNP
NPI 1265276349
Nurse Practitioner - Women's Health in South Portland, ME

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment
102 DAWSON ST, SOUTH PORTLAND, ME 04106(207) 749-4140 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Audra Lynn Debethune Whnp NPPES

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

MRS. AUDRA LYNN DEBETHUNE WHNP (NPI 1265276349) is an individual women's health provider in South Portland, Maine, licensed in Maine (CNP251413) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265276349
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. AUDRA LYNN DEBETHUNECredential: WHNP
Location Address102 DAWSON STSouth Portland, ME 04106-3439
Mailing Address102 Dawson StSouth Portland, ME 04106-3439 · (207) 749-4140
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2024
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1265276349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in ME · CNP251413
102 DAWSON ST, South Portland, ME 04106

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

Mrs. Audra Lynn Debethune Whnp 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 ID8820589237
PECOS Enrollment IDI20251113002718
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 Reassignment

Medicare enrollment records show Audra Debethune reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
175 FORE RIVER PKWY
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 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.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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.

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 Audra Debethune's NPI number?

The NPI number for Audra Debethune is 1265276349. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Audra Debethune located?

Audra Debethune practices at 102 Dawson St, South Portland, ME 04106. The listed phone number is (207) 749-4140.

What is Audra Debethune's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Audra Debethune enrolled in Medicare?

Yes. Audra Debethune 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 Audra Debethune's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Debethune reassigns Medicare benefits to Mercy Hospital (Portland, 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 Audra Debethune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audra Debethune accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Audra Debethune 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 Audra Debethune affiliated with any hospitals?

According to CMS data, Audra Debethune is affiliated with Northern Light Health.

When was this NPI record last updated?

The NPPES record for Audra Debethune was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.