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ALESSANDRA GRACE TUTTLE
NPI 1649892571
Nurse Practitioner - Family in Bangor, ME

Active since May 14, 2020Opted out of Medicare · through May 22, 2027
4 UNION ST, STE 3, BANGOR, ME 04401(207) 952-8784(207) 543-4502 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Feb 18, 2022, Sep 22, 2020 and 2 more (5 updates tracked since 2020).

About Alessandra Grace Tuttle NPPES

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

ALESSANDRA GRACE TUTTLE (NPI 1649892571) is an individual family provider in Bangor, Maine, licensed in Maine (CNP201070) and active in the NPI registry since May 2020. She has opted out of Medicare through May 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649892571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALESSANDRA GRACE TUTTLE
Location Address4 UNION ST, STE 3Bangor, ME 04401
Mailing Address4 Union Street, Ste 3Bangor, ME 04401 · (207) 952-8784 · Fax (207) 543-4502
Phone(207) 952-8784
Fax(207) 543-4502
Sole ProprietorYes
Enumeration DateMay 14, 2020
Last NPPES UpdateOctober 8, 20255 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1649892571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP201070
Also ListedRegistered NurseTaxonomy 163W00000X · License 64240 (ME)
4 UNION 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

ⓘ

Opted out of Medicare

Alessandra Grace Tuttle has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2025 through May 22, 2027.

Opt-Out Effective DateMay 22, 2025
Opt-Out In Effect ThroughMay 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
253 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services61 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

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

PETER JAMES IPPOLITI PHD
Psychologist (Clinical)
4 UNION ST, SUITE 25
BANGOR, ME 04401
Penobscot County (207) 942-5656

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 Alessandra Tuttle's NPI number?

The NPI number for Alessandra Tuttle is 1649892571. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Alessandra Tuttle located?

Alessandra Tuttle practices at 4 Union St Ste 3, Bangor, ME 04401. The listed phone number is (207) 952-8784.

What is Alessandra Tuttle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alessandra Tuttle enrolled in Medicare?

No. Alessandra Tuttle has opted out of Medicare through May 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alessandra Tuttle was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.