ABIMBOLA MARY IWEGBULAM NP
NPI 1295550820
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Q: What is Abimbola Iwegbulam's NPI number?

The NPI number for Abimbola Iwegbulam is 1295550820. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Q: What is Abimbola Iwegbulam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment

268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Abimbola Mary Iwegbulam Np NPPES

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

ABIMBOLA MARY IWEGBULAM NP (NPI 1295550820) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (CNP241242) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295550820

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameABIMBOLA MARY IWEGBULAMCredential: NP

Location Address268 STILLWATER AVEBangor, ME 04401-3945

Mailing Address268 Stillwater AveBangor, ME 04401-3980

Phone(207) 973-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 19, 2024

Last NPPES UpdateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1295550820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · CNP241242

Also ListedRegistered NurseTaxonomy 163W00000X · License RN73841 (ME)

268 STILLWATER AVE, Bangor, ME 04401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Abimbola Mary Iwegbulam 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 ID9032630637

PECOS Enrollment IDI20250312001187

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.

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

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201313

Location447 North Main StreetPittsfield, ME 04967 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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.

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.

DR. KAREN SINGH MD

Student in an Organized Health Care Education/Training Program