MICHAEL C TAVARES PMHNP
NPI 1558089276
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Q: What is Michael Tavares's NPI number?

The NPI number for Michael Tavares is 1558089276. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Q: What is Michael Tavares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tavares was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment

181 CORPORATE DR, BANGOR, ME 04401(207) 992-2636 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Oct 2, 2022, Aug 18, 2022 (3 updates tracked since 2022).

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About Michael C Tavares Pmhnp NPPES

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

MICHAEL C TAVARES PMHNP (NPI 1558089276) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (CNP241426) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1558089276

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL C TAVARESCredential: PMHNP

Location Address181 CORPORATE DRBangor, ME 04401-4314

Mailing AddressPo Box 1599Bangor, ME 04402-1599

Phone(207) 992-2636

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022

Enumeration DateAugust 18, 2022

Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1558089276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in ME · CNP241426✔ Licensed in FL · APRN11022135

181 CORPORATE DR, Bangor, ME 04401

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Secondary Practice Locations 2

Location 11221 W Lakeview AvePensacola, FL 32501-1836 · Phone (850) 469-3500

Location 26119 Hilburn RdPensacola, FL 32504-6218 · Phone (850) 602-8467

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael C Tavares Pmhnp 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 ID6103296520

PECOS Enrollment IDI20221229002154, I20241104003703

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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 9

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

NOEL EDWARD THIBODEAU

Counselor