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BOOTHBAY REGION HEALTH CENTER
NPI 1487179669
Family Medicine in Boothbay Harbor, ME

Active since August 08, 2017CLIA 20D0967008 · Microscopy
185 TOWNSEND AVE STE R, BOOTHBAY HARBOR, ME 04538(207) 633-1075(207) 633-1067 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Boothbay Region Health Center NPPES

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

BOOTHBAY REGION HEALTH CENTER (NPI 1487179669) is a healthcare organization registered as a family medicine in Boothbay Harbor, Maine and active in the NPI registry since August 2017. The organization holds a CLIA Microscopy certificate valid through October 31, 2027 and lists Patricia Seybold, Director, as its authorized official.

NPPES Registry Identity

NPI1487179669
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOOTHBAY REGION HEALTH CARE INC
Location Address185 TOWNSEND AVE STE RBoothbay Harbor, ME 04538-1895
Mailing Address185 Townsend Ave Ste RBoothbay Harbor, ME 04538-1895 · (207) 633-1075 · Fax (877) 492-1491
Phone(207) 633-1075
Fax(207) 633-1067
Organization SubpartNo
Authorized OfficialPatricia SeyboldDirector · (207) 633-4368
Enumeration DateAugust 8, 2017
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1487179669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
185 TOWNSEND AVE STE R, Boothbay Harbor, ME 04538
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Other Names 1

Doing Business AsBoothbay Region Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boothbay Region Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Boothbay Region Health Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Allan Teel, MD
Family Practice
NPI 1073585857
68 CHAPMAN ST
Damariscotta, ME 04543
(207) 563-6623
✔ PECOS✔ Accepts Medicare13 mi
Susan Lord, NP
Nurse Practitioner
NPI 1891779492
22 WHITE ST
Rockland, ME 04841
(207) 594-3114
✔ PECOS31 mi
Dorie Weir, FNP
Nurse Practitioner
NPI 1861558488
150 MAIN RD
Islesboro, ME 04848
(207) 734-2213
✔ PECOS✔ Accepts Medicare46 mi
Peter Goth, MD
Emergency Medicine
NPI 1841271145
140 ACADEMY ST
Presque Isle, ME 04769
(207) 768-4100
✔ PECOS210 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0967008

Boothbay Region Health Center · Boothbay Harbor, ME
Active · expires Oct 31, 2027
CLIA Number20D0967008
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorAllan S. Teel
Laboratory Phone(207) 633-1075
Laboratory LocationBoothbay Region Health Center185 Townsend Ave Ste R, Boothbay Harbor, ME 04538
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Boothbay Region Health Care Inc's NPI number?

The NPI number for Boothbay Region Health Care Inc is 1487179669. It was assigned to this organization in the NPPES registry on August 8, 2017. The provider is doing business as Boothbay Region Health Center.

Where is Boothbay Region Health Care Inc located?

Boothbay Region Health Care Inc is located at 185 Townsend Ave Ste R, Boothbay Harbor, ME 04538. The listed phone number is (207) 633-1075.

What is Boothbay Region Health Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Boothbay Region Health Care Inc enrolled in Medicare?

Yes. Boothbay Region Health Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boothbay Region Health Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Boothbay Region Health Care Inc, in Emergency Medicine, Family Practice and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boothbay Region Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0967008) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boothbay Region Health Care Inc was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.