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KRYSTEL ELLIOTT-THEBERGE MD
NPI 1518537463
Family Medicine in Hampden, ME

Active since July 01, 2021PECOS Enrolled
603 MAIN RD N, HAMPDEN, ME 04444(207) 945-5400(207) 945-8300 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 10, 2025, Jul 1, 2021 (2 updates tracked since 2021).

About Krystel Elliott-theberge Md NPPES

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

KRYSTEL ELLIOTT-THEBERGE MD (NPI 1518537463) is an individual family medicine provider in Hampden, Maine, licensed in Maine (MD24893) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1518537463
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRYSTEL ELLIOTT-THEBERGECredential: MD
Location Address603 MAIN RD NHampden, ME 04444-1804
Mailing Address603 Main Rd NHampden, ME 04444-1804 · (207) 945-5400 · Fax (207) 945-8300
Phone(207) 945-5400
Fax(207) 945-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1518537463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD24893
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.
603 MAIN RD N, Hampden, ME 04444
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystel Elliott-theberge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234532326
PECOS Enrollment IDI20260319003305
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 Krystel Elliott-theberge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Maine Medical Center
3.7 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000

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 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04444 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 3

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

ERIN MARIE CHANDLER DO
Family Medicine
603 MAIN RD N
HAMPDEN, ME 04444
Penobscot County (207) 945-5400
OSTEOPATHIC CENTER FOR FAMILY MEDICINE, LLC
Family Medicine
603 MAIN RD N
HAMPDEN, ME 04444
Penobscot County (207) 945-5400
DR. LEIGH J FORBUSH DO
Family Medicine
603 MAIN RD N
HAMPDEN, ME 04444
Penobscot County (207) 945-5400

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 Krystel Elliott-theberge's NPI number?

The NPI number for Krystel Elliott-theberge is 1518537463. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Krystel Elliott-theberge located?

Krystel Elliott-theberge practices at 603 Main Rd N, Hampden, ME 04444. The listed phone number is (207) 945-5400.

What is Krystel Elliott-theberge's specialty?

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

Is Krystel Elliott-theberge enrolled in Medicare?

Yes. Krystel Elliott-theberge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystel Elliott-theberge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystel Elliott-theberge reassigns Medicare benefits to Eastern Maine Medical Center (Bangor, 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 Krystel Elliott-theberge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Krystel Elliott-theberge affiliated with any hospitals?

According to CMS data, Krystel Elliott-theberge is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Krystel Elliott-theberge was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.