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ANDREA NICOLE CLAPP MD
NPI 1437736428
Psychiatry & Neurology - Neurology in Biddeford, ME

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
46 BARRA RD STE 101, BIDDEFORD, ME 04005(207) 282-5509(207) 294-3543 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Jul 10, 2025, Mar 25, 2021 (3 updates tracked since 2021).

About Andrea Nicole Clapp Md NPPES

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

ANDREA NICOLE CLAPP MD (NPI 1437736428) is an individual neurology provider in Biddeford, Maine, licensed in Maine (MD29641) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1437736428
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameANDREA NICOLE CLAPPCredential: MD
Location Address46 BARRA RD STE 101Biddeford, ME 04005-9461
Mailing Address46 Barra Rd Ste 101Biddeford, ME 04005-9461 · (207) 282-5509 · Fax (207) 294-3543
Phone(207) 282-5509
Fax(207) 294-3543
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1437736428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ME · MD29641
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
46 BARRA RD STE 101, Biddeford, ME 04005
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Andrea Nicole Clapp Md 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 ID3476954041
PECOS Enrollment IDI20260610001406
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Clapp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
0.5 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY HOGAN PA
Physician Assistant
46 BARRA RD STE 101
BIDDEFORD, ME 04005
York County (207) 282-5509
CHRISTOPHER A TOTH D.P.M.
Podiatrist
46 BARRA RD STE 101
BIDDEFORD, ME 04005
York County (207) 294-8230
SAMANTHA JANE DIAL MD
Psychiatry & Neurology (Clinical Neurophysiology)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
York County (207) 282-5509
DONALD A. DIRISI JR. PA
Physician Assistant (Medical)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
York County (207) 282-5509
SARAH MORENCY BASKIND FNP-BC
Nurse Practitioner (Family)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
York County (207) 282-5509

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 Andrea Clapp's NPI number?

The NPI number for Andrea Clapp is 1437736428. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Andrea Clapp located?

Andrea Clapp practices at 46 Barra Rd Ste 101, Biddeford, ME 04005. The listed phone number is (207) 282-5509.

What is Andrea Clapp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrea Clapp enrolled in Medicare?

Yes. Andrea Clapp 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 organization bills Medicare for Andrea Clapp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Clapp reassigns Medicare benefits to Mainehealth (Biddeford, 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 Andrea Clapp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Clapp accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Andrea Clapp 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 Andrea Clapp affiliated with any hospitals?

According to CMS data, Andrea Clapp is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Clapp was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.