DR. STACY RAE THIBODEAU DNP, MSN, PMHN-BC
NPI 1821977125
Nurse Practitioner - Psychiatric/Mental Health in Dover Foxcroft, ME

Q: What is Stacy Thibodeau's NPI number?

The NPI number for Stacy Thibodeau is 1821977125. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Q: What is Stacy Thibodeau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Thibodeau was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2025PECOS EnrolledAccepts Medicare Assignment

1048 SOUTH ST, DOVER FOXCROFT, ME 04426(207) 659-5160 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Stacy Rae Thibodeau Dnp, Msn, Pmhn-bc NPPES

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

DR. STACY RAE THIBODEAU DNP, MSN, PMHN-BC (NPI 1821977125) is an individual psychiatric/mental health provider in Dover Foxcroft, Maine, licensed in Maine (CNP251559) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821977125

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. STACY RAE THIBODEAUCredential: DNP, MSN, PMHN-BC

Location Address1048 SOUTH STDover Foxcroft, ME 04426-1232

Mailing Address125 Glenn StCaribou, ME 04736-1928 · (207) 999-1157

Phone(207) 659-5160

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1821977125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · CNP251559

1048 SOUTH ST, Dover Foxcroft, ME 04426

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacy Rae Thibodeau Dnp, Msn, Pmhn-bc 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 ID1951880442

PECOS Enrollment IDI20260205000022

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04426 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.

Leave this field empty

Other Providers at the Same Location NPPES 12

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

AMY DAHLBERG LCSW-C

Social Worker (Clinical)