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

Q: 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.

Q: What is Tracy Stevens's specialty?

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

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.