BISHOP MEDICAL GROUP LLC
NPI 1487256186
Psychiatry & Neurology - Addiction Medicine in Portland, ME

Active since November 09, 2020CLIA 20D2218968 · Waiver
1250 FOREST AVE STE 201, PORTLAND, ME 04103(207) 671-3047 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jun 3, 2024, May 24, 2023 and 1 more (4 updates tracked since 2020).

About Bishop Medical Group Llc NPPES

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

BISHOP MEDICAL GROUP LLC (NPI 1487256186) is a healthcare organization registered as an addiction medicine in Portland, Maine and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 31, 2027, maintains 2 additional practice locations, and lists Morgan Emerson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1487256186
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameBISHOP MEDICAL GROUP LLC
Location Address1250 FOREST AVE STE 201Portland, ME 04103-6403
Mailing Address1250 Forest Ave Ste 201Portland, ME 04103-6403
Organization SubpartNo
Authorized OfficialMorgan EmersonDirector Of Operations · (207) 910-6580
Enumeration DateNovember 9, 2020
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1487256186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1250 FOREST AVE STE 201, Portland, ME 04103

Secondary Practice Locations 2

Location 1100 Gannett DrSouth Portland, ME 04106-5900 · Phone (207) 910-6580
Location 21250 Forest Ave Ste 14Portland, ME 04103-1889 · Phone (207) 910-6580

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bishop Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Bishop Medical Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1619538782
17 BISHOP ST
Portland, ME 04103
(207) 618-9611
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1780282541
10 ASHLEY LN
Portland, ME 04103
(603) 387-1386
✔ PECOS✔ Accepts Medicare1.6 mi
Mental Health Counselor
NPI 1982019550
165 LANCASTER ST
Portland, ME 04101
(207) 874-1030
✔ PECOS2.6 mi
Addiction Medicine
NPI 1356305411
63 PREBLE ST
Portland, ME 04101
(207) 822-0232
✔ PECOS✔ Accepts Medicare2.7 mi
Neuropsychiatry
NPI 1841297009
208 VAUGHAN ST
Portland, ME 04102
(207) 450-8627
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Social Worker
NPI 1871221101
145 SETTLER RD
South Portland, ME 04106
(207) 370-5458
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1851643548
49 SPRING ST
Scarborough, ME 04074
(207) 883-1414
✔ PECOS✔ Accepts Medicare5.1 mi
Mental Health Counselor
NPI 1376190173
7 OAK HILL TER STE 211
Scarborough, ME 04074
(207) 332-0336
✔ PECOS✔ Accepts Medicare7.0 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 of Waiver 20D2218968

Bishop Medical Group LLC · Portland, ME
Active · expires Mar 31, 2027
CLIA Number20D2218968
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorTamer Wassef
Laboratory Phone(207) 910-6580
Laboratory LocationBishop Medical Group LLC100 Gannett Drive Ste B, Portland, ME 04106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Bishop Medical Group LLC's NPI number?

The NPI number for Bishop Medical Group LLC is 1487256186. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Bishop Medical Group LLC located?

Bishop Medical Group LLC is located at 1250 Forest Ave Ste 201, Portland, ME 04103. The listed phone number is (207) 671-3047.

What is Bishop Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Bishop Medical Group LLC enrolled in Medicare?

Yes. Bishop Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bishop Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Bishop Medical Group LLC. 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. The largest specialties are Mental Health Counselor (3), Nurse Practitioner (2) and Addiction Medicine (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bishop Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2218968) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bishop Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bishop Medical Group LLC 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.

When was this NPI record last updated?

The NPPES record for Bishop Medical Group LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.