PENOBSCOT NATION HEALTH DEPARTMENT
NPI 1639139140
Clinic/Center - Rural Health in Indian Island, ME
About Penobscot Nation Health Department NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENOBSCOT NATION HEALTH DEPARTMENT (NPI 1639139140) is a healthcare organization registered as a rural health in Indian Island, Maine and active in the NPI registry since March 2006. The organization lists Nicole A Hines, Assistant Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penobscot Nation Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Penobscot Nation Health Department, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 for Provider-Performed Microscopy Procedures (PPMP) 20D0719653
Penobscot Nation Health Dept · Indian Island, MEFrequently 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 Penobscot Indian Nation Finance Office's NPI number?
The NPI number for Penobscot Indian Nation Finance Office is 1639139140. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Penobscot Nation Health Department.
Where is Penobscot Indian Nation Finance Office located?
Penobscot Indian Nation Finance Office is located at 23 Wabanaki Way, Indian Island, ME 04468. The listed phone number is (207) 817-7404.
What is Penobscot Indian Nation Finance Office's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Penobscot Indian Nation Finance Office enrolled in Medicare?
Yes. Penobscot Indian Nation Finance Office is registered in the Medicare PECOS enrollment system.
When is Penobscot Indian Nation Finance Office's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Penobscot Indian Nation Finance Office?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Penobscot Indian Nation Finance Office. 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 Nurse Practitioner (3), Family Practice (1) and Registered Dietitian or Nutrition Professional (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Penobscot Indian Nation Finance Office accept?
Health plans from Anthem Blue Cross and Blue Shield list Penobscot Indian Nation Finance Office 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 Penobscot Indian Nation Finance Office was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Penobscot Nation Health Department · NPI 1639139140
Rural Health organization in Indian Island, Maine. Organization record, active in the CMS NPPES registry since March 27, 2006.
## Identity
- **NPI:** 1639139140 (Entity type: Organization)
- **Enumerated:** March 27, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Penobscot Indian Nation Finance Office
- **Organization subpart:** Yes (part of Penobscot Indian Nation Finance Office)
- **Authorized official:** Nicole Hines, ASSISTANT DIRECTOR
## Practice location
- **Address:** 23 WABANAKI WAY, Indian Island, ME 04468-1252
- **Phone:** (207) 817-7404 · **Fax:** (207) 817-7459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1), Registered Dietitian or Nutrition Professional (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2013
- **Other identifiers:** Medicaid 106520100 (ME); Medicare ID-Type Unspecified 20-1818
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639139140) · Data from the CMS NPPES public registry.