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AMANDA DAHLGREN FNP-C
NPI 1720693138
Nurse Practitioner - Family in Sanford, ME

Active since September 11, 2020PECOS EnrolledAccepts Medicare Assignment
1420 MAIN ST, SANFORD, ME 04073(207) 850-5744 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2023, Jun 5, 2023, Mar 1, 2023 and 2 more (5 updates tracked since 2020).

About Amanda Dahlgren Fnp-c NPPES

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

AMANDA DAHLGREN FNP-C (NPI 1720693138) is an individual family provider in Sanford, Maine, licensed in Maine (CNP231098) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720693138
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA DAHLGRENCredential: FNP-C
Location Address1420 MAIN STSanford, ME 04073-3680
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308
Phone(207) 850-5744
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 11, 2020
Last NPPES UpdateNovember 15, 20235 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1720693138 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
Licenses✔ Licensed in ME · CNP231098✔ Licensed in NH · 090946-23
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1420 MAIN ST, Sanford, ME 04073
Open in Google Maps ↗

Other Identifiers 3

OtherRN72395ME · Maine State Board Of Nursing
Other090946-23NH · State Of New Hampshire Board Of Nursing
OtherCNP231098ME · Maine State Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Dahlgren Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284008954
PECOS Enrollment IDI20230320001589, I20240521003064
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 Amanda Dahlgren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Convenientmd - Ffs Uc LLC
Same address
Urgent Care
1420 MAIN ST
Sanford, ME 04073
  • Reassigned Medicare billing, Maine and New Hampshire enrollments
  • Also billed through NPI 1376234708 (New Hampshire)
  • 106 clinicians in this Medicare group
NPI 1821789363 (207) 850-5744
Ocumed LLC
15 mi
Emergency Medicine
789 CENTRAL AVE
Dover, NH 03820
  • Reassigned Medicare billing, New Hampshire enrollment
  • 31 clinicians in this Medicare group
NPI 1417788811 (877) 485-4474
Seacoast Emergency Physicians, PC
15 mi
Emergency Medical Services
789 CENTRAL AVE, EMERGENCY DEPT
Dover, NH 03820
  • Reassigned Medicare billing, New Hampshire enrollment
  • 48 clinicians in this Medicare group
NPI 1134155872 (603) 740-2163

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

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
16 services16 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.
15 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 5

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

CONVENIENTMD LLC
Clinic/Center (Urgent Care)
1420 MAIN ST
SANFORD, ME 04073
York County (207) 850-5744
STACIA STICKNEY PA-C
Physician Assistant
1420 MAIN ST
SANFORD, ME 04073
York County (207) 850-5744
KIMBERLY A NEVELLS FNP-BC
Nurse Practitioner (Family)
1420 MAIN ST
SANFORD, ME 04073
York County (207) 850-5744
CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
1420 MAIN ST
SANFORD, ME 04073
York County (207) 850-5744
MERYL RICHARDSON LEVESQUE FNP-BC
Nurse Practitioner (Family)
1420 MAIN ST
SANFORD, ME 04073
York County (207) 850-5744

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 Amanda Dahlgren's NPI number?

The NPI number for Amanda Dahlgren is 1720693138. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Amanda Dahlgren located?

Amanda Dahlgren practices at 1420 Main St, Sanford, ME 04073. The listed phone number is (207) 850-5744.

What is Amanda Dahlgren's specialty?

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

Is Amanda Dahlgren enrolled in Medicare?

Yes. Amanda Dahlgren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Dahlgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dahlgren reassigns Medicare benefits to 3 organizations: Convenientmd - Ffs Uc LLC (Sanford, ME), Ocumed LLC (Dover, NH) and Seacoast Emergency Physicians, PC (Dover, NH). 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 Amanda Dahlgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dahlgren accept?

Health plans from WellSense Health Plan list Amanda Dahlgren 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 Amanda Dahlgren was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.