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

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: October 18, 2026.

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 ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Thibodeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Aroostook Psychiatric Services LLC
119 mi
Psychiatry
521 MAIN ST
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 5 clinicians in this Medicare group
NPI 1831368042 (207) 764-9700

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 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.

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)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
WELLNESS CENTER OF MAINE
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
CHRISTINA INGEMI LCPC-C
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
STACEY DURAN LCSW-C
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JODI L CUMMINGS MCGARY LCSW
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JASON MILLS
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
DR. LESLEY MONTGOMERY FERNOW MD
Internal Medicine
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-7131
DR. DAVID P FRASZ MD
Ophthalmology
1048 SOUTH ST, SUITE 300
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-8441

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 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.

Where is Stacy Thibodeau located?

Stacy Thibodeau practices at 1048 South St, Dover Foxcroft, ME 04426. The listed phone number is (207) 659-5160.

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.

Is Stacy Thibodeau enrolled in Medicare?

Yes. Stacy Thibodeau 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 organization bills Medicare for Stacy Thibodeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Thibodeau reassigns Medicare benefits to Central Aroostook Psychiatric Services LLC (Presque Isle, ME). The 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 Stacy Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Thibodeau accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stacy Thibodeau 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 Stacy Thibodeau was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.