PINE TREE URGENT CARE LLC
NPI 1679450969
Clinic/Center - Urgent Care in Bangor, ME
About Pine Tree Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE TREE URGENT CARE LLC (NPI 1679450969) is a healthcare organization registered as an urgent care in Bangor, Maine and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists David Wade, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Tree Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pine Tree Urgent Care LLC, 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 of Waiver 20D2329936
Pine Tree Urgent Care LLC · Bangor, 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 Pine Tree Urgent Care LLC's NPI number?
The NPI number for Pine Tree Urgent Care LLC is 1679450969. It was assigned to this organization in the NPPES registry on August 19, 2025.
Where is Pine Tree Urgent Care LLC located?
Pine Tree Urgent Care LLC is located at 557 Hammond St, Bangor, ME 04401. The listed phone number is (207) 239-9757.
What is Pine Tree Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Pine Tree Urgent Care LLC enrolled in Medicare?
Yes. Pine Tree Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Tree Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pine Tree Urgent Care LLC. 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 (4) and Emergency Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pine Tree Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2329936) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pine Tree Urgent Care LLC accept?
Health plans from Harvard Pilgrim Health Care list Pine Tree Urgent Care LLC 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 Pine Tree Urgent Care LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pine Tree Urgent Care Llc · NPI 1679450969
Urgent Care organization in Bangor, Maine. Organization record, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1679450969 (Entity type: Organization)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** David Wade, OWNER
## Practice location
- **Address:** 557 HAMMOND ST, Bangor, ME 04401-4511
- **Phone:** (207) 239-9757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Emergency Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679450969) · Data from the CMS NPPES public registry.