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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JANESE SHADE' LASTER-BUTLER M.D.
NPI 1679839047
Internal Medicine - Gastroenterology in Bangor, ME

Active since April 10, 2012PECOS Enrolled
417 STATE ST STE 121, BANGOR, ME 04401(207) 973-4266 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Oct 22, 2020, Aug 3, 2020 (3 updates tracked since 2020).

About Janese Shade' Laster-butler M.d. NPPES

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

JANESE SHADE' LASTER-BUTLER M.D. (NPI 1679839047) is an individual gastroenterology provider in Bangor, Maine, licensed in Maine (MD23165) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679839047
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameJANESE SHADE' LASTER-BUTLERCredential: M.D.
Location Address417 STATE ST STE 121Bangor, ME 04401-6630
Mailing Address5225 Wisconsin Ave Nw # 200bWashington, DC 20015-2014 · (888) 755-4881 · Fax (888) 755-4881
Phone(207) 973-4266
Sole ProprietorYes
Enumeration DateApril 10, 2012
Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1679839047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD23165✔ Licensed in NY · 296806
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
417 STATE ST STE 121, Bangor, ME 04401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janese Shade' Laster-butler M.d. 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 Reassignments

3

Medicare enrollment records show Janese Laster-butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
535 mi
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009
  • Reassigned Medicare billing, Maryland enrollment
  • Also billed through NPI 1457023616 (Maryland), NPI 1942546486 (Maryland)
  • 1,253 clinicians in this Medicare group
NPI 1265971873 (410) 515-5440
Rockford Health Physicians
1,026 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Siu Physicians & Surgeons, Inc
1,121 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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 9

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

DR. THEODORE WILLIAM JAMES M.D.
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
JEAN M LARSON MD
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
MS. PEARL PRINCESS DE LOS SANTOS UY M.D.
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
MRS. LINDSEY ANNE BARTLETT PA-C
Physician Assistant (Medical)
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
KEVIN BROWN PA-C
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
HARSHA MEGHANA CHEKURI PA-C
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
MRS. LAUREN LE LOISELLE NP
Nurse Practitioner (Acute Care)
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266
JOSEPH HARKINS PA-C
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Penobscot County (207) 973-4266

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 Janese Laster-butler's NPI number?

The NPI number for Janese Laster-butler is 1679839047. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Janese Laster-butler located?

Janese Laster-butler practices at 417 State St Ste 121, Bangor, ME 04401. The listed phone number is (207) 973-4266.

What is Janese Laster-butler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Janese Laster-butler enrolled in Medicare?

Yes. Janese Laster-butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janese Laster-butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janese Laster-butler reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD), Rockford Health Physicians (Rockford, IL) and Siu Physicians & Surgeons, Inc (Springfield, IL). Each 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 Janese Laster-butler'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 Janese Laster-butler was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.