AMANDA J GAGNON DO
NPI 1316574635
Pediatrics in Lewiston, ME
About Amanda J Gagnon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA J GAGNON DO (NPI 1316574635) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (DO3559) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda J Gagnon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Amanda Gagnon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Norway, ME 04268
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04240 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.
LEWISTON, ME 04240
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 Amanda Gagnon's NPI number?
The NPI number for Amanda Gagnon is 1316574635. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Amanda Gagnon located?
Amanda Gagnon practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 662-0111.
What is Amanda Gagnon's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Amanda Gagnon enrolled in Medicare?
Yes. Amanda Gagnon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Gagnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gagnon reassigns Medicare benefits to 4 organizations: Central Maine Medical Center (Lewiston, ME), Mainehealth (Norway, ME), Bridgton Hospital (Bridgton, ME) and Rumford Hospital (Rumford, 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 Amanda Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Gagnon was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Amanda J Gagnon, DO · NPI 1316574635
Pediatrics physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1316574635 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DO3559 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 MAIN ST, Lewiston, ME 04240-7027
- **Phone:** (207) 662-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Central Maine Medical Center (NPI 1689653487, Lewiston, ME); Mainehealth (NPI 1447730247, Norway, ME); Bridgton Hospital (NPI 1154370153, Bridgton, ME); Rumford Hospital (NPI 1205991122, Rumford, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316574635) · Data from the CMS NPPES public registry.