MICHAEL ONEAL
NPI 1386399830
Nurse Practitioner - Acute Care in Ellsworth, ME
About Michael Oneal NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ONEAL (NPI 1386399830) is an individual acute care provider in Ellsworth, Maine, licensed in Maine (CNP221011) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Michael Oneal 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Oneal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 167 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 99 clinicians in this Medicare group
Yarmouth, ME 04096
- Reassigned Medicare billing, Maine enrollment
- 33 clinicians in this Medicare group
Fitchburg, MA 01420
- Reassigned Medicare billing, Maine enrollment
- 5 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mid Coast Hospital
Acute Care Hospitals · Brunswick, MEMaine General Medical Center
Acute Care Hospitals · Augusta, MENorthern Light Maine Coast Hospital
Acute Care Hospitals · Ellsworth, MEWaldo County General Hospital
Critical Access Hospitals · Belfast, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Michael Oneal's NPI number?
The NPI number for Michael Oneal is 1386399830. It was assigned to this individual provider in the NPPES registry on February 14, 2022.
Where is Michael Oneal located?
Michael Oneal practices at 50 Union St, Ellsworth, ME 04605. The listed phone number is (207) 664-5311.
What is Michael Oneal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Michael Oneal enrolled in Medicare?
Yes. Michael Oneal 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 organizations bill Medicare for Michael Oneal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Oneal reassigns Medicare benefits to 4 organizations: Emergency Medicine Services Of Maine, LLC (Ellsworth, ME), Hospital Medicine Services Of Maine LLC (Ellsworth, ME), Impact Health Me, LLC (Yarmouth, ME) and Blueprint Healthcare LLC (Fitchburg, MA). 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 Michael Oneal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Oneal accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Michael Oneal 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 Michael Oneal affiliated with any hospitals?
According to CMS data, Michael Oneal is affiliated with Mid Coast Hospital, Maine General Medical Center, Northern Light Maine Coast Hospital and Waldo County General Hospital.
When was this NPI record last updated?
The NPPES record for Michael Oneal was last updated on February 21, 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.
# Michael Oneal · NPI 1386399830
Acute Care physician in Ellsworth, Maine. Individual provider, active in the CMS NPPES registry since February 14, 2022.
## Identity
- **NPI:** 1386399830 (Entity type: Individual)
- **Enumerated:** February 14, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** CNP221011 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 50 UNION ST, Ellsworth, ME 04605-1534
- **Phone:** (207) 664-5311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Emergency Medicine Services Of Maine, LLC (NPI 1578032058, Ellsworth, ME); Hospital Medicine Services Of Maine LLC (NPI 1538638432, Ellsworth, ME); Impact Health Me, LLC (NPI 1518432574, Yarmouth, ME); Blueprint Healthcare LLC (NPI 1467927483, Fitchburg, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386399830) · Data from the CMS NPPES public registry.