MRS. DORENE A DOSTAL-JOHNSON FNP
NPI 1407886443
Nurse Practitioner - Family in Auburn, ME
About Mrs. Dorene A Dostal-johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DORENE A DOSTAL-JOHNSON FNP (NPI 1407886443) is an individual family provider in Auburn, Maine, licensed in Maine (CNP81264) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Portland.
NPPES Registry Identity
Specialties & Licenses
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)
Mrs. Dorene A Dostal-johnson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dorene Dostal-johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Auburn, ME 04210
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 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 04210 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUBURN, ME 04210
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 Dorene Dostal-johnson's NPI number?
The NPI number for Dorene Dostal-johnson is 1407886443. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Dorene Dostal-johnson located?
Dorene Dostal-johnson practices at 15 Gracelawn Rd, Auburn, ME 04210. The listed phone number is (207) 333-4799.
What is Dorene Dostal-johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dorene Dostal-johnson enrolled in Medicare?
Yes. Dorene Dostal-johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dorene Dostal-johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorene Dostal-johnson reassigns Medicare benefits to St. Mary's Regional Medical Center (Auburn, ME). The 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 Dorene Dostal-johnson'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 Dorene Dostal-johnson was last updated on November 8, 2022. 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.
# Mrs. Dorene A Dostal-Johnson, FNP · NPI 1407886443
Family physician in Auburn, Maine. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1407886443 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP81264 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 GRACELAWN RD, Auburn, ME 04210-6334
- **Phone:** (207) 333-4799 · **Fax:** (207) 333-4767
## 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:** St. Mary's Regional Medical Center (NPI 1407242522, Auburn, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407886443) · Data from the CMS NPPES public registry.