TIMOTHY C PRINCE FNPC
NPI 1386254886
Nurse Practitioner in Bangor, ME

NPI Status: Active since August 09, 2020

Contact Information

86 DAVIS RD
BANGOR, ME
ZIP 04401
Phone: (207) 992-2205
Fax: (207) 992-2207

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  • Individual
  • Male
  • Years of Experience 4
  • Nurse Practitioner
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About TIMOTHY PRINCE

Timothy Prince is a provider established in Bangor, Maine and his medical specialization is Nurse Practitioner with more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1386254886 assigned on August 2020. The practitioner's primary taxonomy code is 363L00000X with license number CNP201228 (ME). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1386254886
Provider Name
TIMOTHY C PRINCE FNPC
Gender
Male
Entity Type
Individual
Location Address
86 DAVIS RD BANGOR, ME 04401
Location Phone
(207) 992-2205
Location Fax
(207) 992-2207
Mailing Address
PO BOX 1599 BANGOR, ME 04402
Mailing Phone
(207) 404-8200
Mailing Fax
(207) 992-2207
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
08-09-2020
Last Update Date
12-07-2021
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A nurse practitioner (NP) like Timothy Prince is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Timothy Prince is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.31 for a new patient copayment and $24.69 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP201228
License State
ME
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

PECOS Enrollment and Medicare Participation Status

Timothy Prince is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638598246

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220512001691

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.24
  • Minimum New Patient Price $55.17
  • Maximum New Patient Price $169.01
  • Average New Patient Copayment $21.31
  • Minimum New Patient Copayment $13.79
  • Maximum New Patient Copayment $42.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.76
  • Minimum Established Patient Price $16.99
  • Maximum Established Patient Price $138.13
  • Average Established Patient Copayment $24.69
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $34.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 12

    Blood test, comprehensive group of blood chemicals (HCPCS:80053)

Reviews for TIMOTHY C PRINCE FNPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386254886
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166458816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 4 + 5 + 8 + 8 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1386254886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093734493 CONSTANCE C SPRAGUE APRN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1245323104 JENNIFER A TRIMBLE DO
Individual
Neuromusculoskeletal Medicine & OMM86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1255416772MS. CHRYS J. LANDRIGAN PA-C, MPAS
Individual
Physician Assistant86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1306998281DR. JAMES NELSON RILEY SR. DO
Individual
Neuromusculoskeletal Medicine & OMM86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1740373679PENOBSCOT COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1194784991 NOAH NESIN MD
Individual
Family Medicine86 DAVIS RD
BANGOR, ME 04401
(207) 992-9200
1326149725 LARRY P BOLSTER LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1003393042 EMILY A GOODE LCPC
Individual
Counselor (Professional)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1003012253 KIMBERLY A MILLS LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1467888230 AME BARRIER LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1336863059 KAITLIN DRAKE LCPC-C
Individual
Counselor (Professional)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1265592315 LISA M MELENDEZ-LAWRENCE LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1740709567 MEISHA B NICKERSON LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386254886, enumerated in the NPI registry as an "individual" on August 09, 2020

The provider is located at 86 Davis Rd Bangor, Me 04401 and the phone number is (207) 992-2205

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider has more than 4 years of experience.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.24 with an average copayment of $21.31 for new patient appointments. Established patients should expect a typical charge of $98.76 and an average copayment of 24.69. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Blood test, comprehensive group of blood chemicals.

This NPI record was last updated on August 09, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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