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DR. TRACY KENDREW STEVENS MD
NPI 1619948668
Pediatrics - Neonatal-Perinatal Medicine in Bangor, ME

Active since January 29, 2006PECOS Enrolled
489 STATE ST, BANGOR, ME 04401(207) 275-1082(207) 973-5163 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tracy Kendrew Stevens Md NPPES

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

DR. TRACY KENDREW STEVENS MD (NPI 1619948668) is an individual neonatal-perinatal medicine provider in Bangor, Maine, licensed in Maine (MD21620) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619948668
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TRACY KENDREW STEVENSCredential: MD
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address43 Whiting Hill RdBrewer, ME 04412-1005
Phone(207) 275-1082
Fax(207) 973-5163
Sole ProprietorNo
Enumeration DateJanuary 29, 2006
Last NPPES UpdateApril 30, 2018
✔ NPI 1619948668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ME · MD21620✔ Licensed in VT · 042-0009661
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
489 STATE ST, Bangor, ME 04401
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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)

Dr. Tracy Kendrew Stevens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tracy Stevens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Maine Medical Center
Same address
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.

Other Providers at the Same Location NPPES 20

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

MARGARET ELIZABETH KASPER PA-C
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
DARA H KNAPP PA
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JAIME LEE NAUGHTON CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4519
YASMANI LEYVA ECHEVARRIA CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
KATE LUCILLE BLANCHARD PA-C
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
DR. JAMES W BERRY M.D.
Family Medicine
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JENNIFER LYNN MCKEON CRNP
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Penobscot County (207) 973-6670
DR. LEONARD C MONEKE MD
Hospitalist
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000

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 Tracy Stevens's NPI number?

The NPI number for Tracy Stevens is 1619948668. It was assigned to this individual provider in the NPPES registry on January 29, 2006.

Where is Tracy Stevens located?

Tracy Stevens practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 275-1082.

What is Tracy Stevens's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tracy Stevens enrolled in Medicare?

Yes. Tracy Stevens is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Stevens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Stevens 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 Tracy Stevens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Stevens was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.