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MRS. ELIZABETH MAE INCANNELLA FNP
NPI 1275145393
Nurse Practitioner - Family in Calais, ME

Active since August 19, 2020PECOS Enrolled
37 PALMER ST STE 2, CALAIS, ME 04619(207) 454-9516 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Elizabeth Mae Incannella Fnp NPPES

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

MRS. ELIZABETH MAE INCANNELLA FNP (NPI 1275145393) is an individual family provider in Calais, Maine, licensed in Maine (CNP201145) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275145393
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ELIZABETH MAE INCANNELLACredential: FNP
Location Address37 PALMER ST STE 2Calais, ME 04619-1341
Mailing Address37 Palmer St Ste 2Calais, ME 04619-1341 · (207) 454-9516
Phone(207) 454-9516
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1275145393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP201145
37 PALMER ST STE 2, Calais, ME 04619
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Mae Incannella Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385064468
PECOS Enrollment IDI20201009002497
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 Elizabeth Incannella reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calais Community Hospital
Same address
Rural Health
37 PALMER ST
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Calais Regional Hospital
  • Also billed through NPI 1922001049 (Maine)
  • 14 clinicians in this Medicare group
NPI 1134200702 (207) 454-8150
Calais Community Hospital
0.1 mi
Medicare Defined Swing Bed Unit
24 HOSPITAL LN
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • 94 clinicians in this Medicare group
NPI 1376546143 (207) 454-7521

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 3

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Calais Community Hospital

Critical Access Hospitals · Calais, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201305
Location24 Hospital LaneCalais, ME 04619 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04619 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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%68 patients
Breast Cancer Screening
83%133 patients4/55-star benchmark: 93%
Cervical Cancer Screening
73%160 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
43%364 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
71%231 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
54%174 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
48%80 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%80 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,030 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%158 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
69%442 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
21%292 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%446 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 71% · 435 patients
Patients screened: 71% · 435 patients
98%44 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%140 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 162 patients
Patients totalRate: 11% · 166 patients
12%166 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers13 claims35 services$3.36 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims14 services$18.77 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers18 claims18 services$52.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$111.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$38.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers21 claims21 services$184.93 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER SCOTT WILKINSON D.O.
Internal Medicine
37 PALMER ST STE 2
CALAIS, ME 04619
Washington County (207) 454-8233

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 Elizabeth Incannella's NPI number?

The NPI number for Elizabeth Incannella is 1275145393. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Elizabeth Incannella located?

Elizabeth Incannella practices at 37 Palmer St Ste 2, Calais, ME 04619. The listed phone number is (207) 454-9516.

What is Elizabeth Incannella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Incannella enrolled in Medicare?

Yes. Elizabeth Incannella is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Incannella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Incannella reassigns Medicare benefits to 2 organizations: Calais Community Hospital (Calais, ME) and Calais Community Hospital (Calais, 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 Elizabeth Incannella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Incannella accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Incannella 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 Elizabeth Incannella affiliated with any hospitals?

According to CMS data, Elizabeth Incannella is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center and Calais Community Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Incannella was last updated on August 19, 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.