BREWER MEDICAL CENTER
NPI 1841475712
Clinic/Center - Federally Qualified Health Center (FQHC) in Brewer, ME

Active since January 09, 2008CLIA 20D1059876 · Waiver
735 WILSON ST, BREWER, ME 04412(207) 989-1567(207) 989-6889 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Brewer Medical Center NPPES

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

BREWER MEDICAL CENTER (NPI 1841475712) is a healthcare organization registered as a federally qualified health center (fqhc) in Brewer, Maine and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1841475712
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address735 WILSON STBrewer, ME 04412
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 947-0435
Fax(207) 989-6889
Organization SubpartYes
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateJanuary 9, 2008
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
✔ NPI 1841475712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
735 WILSON ST, Brewer, ME 04412

Other Names 1

Doing Business AsBrewer Medical Center

Other Identifiers 2

Medicaid131160200ME
Medicaid131160100ME

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brewer Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

144

Medicare enrollment records show 144 clinicians reassign Medicare billing to Brewer Medical Center, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner68
Clinical Social Worker27
Family Practice14
Mental Health Counselor10
Pediatric Medicine8
Qualified Audiologist6
Internal Medicine3
Psychiatry2
5 other specialties6

Nearest to this location (20)

See all 144
Clinical Social Worker
NPI 1063764777
735 WILSON ST
Brewer, ME 04412
(207) 992-2205
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679772032
735 WILSON ST
Brewer, ME 04412
(207) 404-8100
✔ PECOSSame address
Nurse Practitioner
NPI 1336843374
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962736041
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598735722
735 WILSON ST
Brewer, ME 04412
(079) 891-5672
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760491294
735 WILSON STREET
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760268544
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1700299708
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821549445
735 WILSON ST.
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396204707
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1801826896
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
Same address
Nurse Practitioner
NPI 1083906622
735 WILSON STREET
Brewer, ME 04412
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457456733
735 WILSON ST
Brewer, ME 04412
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104535681
735 WILSON ST
Brewer, ME 04412
(207) 404-8100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063067650
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1891567137
735 WILSON ST
Brewer, ME 04412
(079) 891-5672
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528856689
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467553842
735 WILSON STREET
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831338482
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1750083366
92 PENDLETON ST
Brewer, ME 04412
(207) 992-2393
✔ PECOS2.0 mi
See all 144 clinicians

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 20D1059876

Brewer Medical Center · Brewer, ME
Active · expires Nov 8, 2026
CLIA Number20D1059876
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJacqueline Molinero
Laboratory Phone(207) 989-1567
Laboratory LocationBrewer Medical Center735 Wilson St, Brewer, ME 04412
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1841475712. It was assigned to this organization in the NPPES registry on January 9, 2008. The provider is doing business as Brewer Medical Center.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 735 Wilson St, Brewer, ME 04412. The listed phone number is (207) 989-1567.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Penobscot Community Health Center enrolled in Medicare?

Yes. Penobscot Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 13 Medicare specialties reassign their Medicare billing to Penobscot Community Health Center. 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 (68), Clinical Social Worker (27) and Family Practice (14). Of these, 19 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Penobscot Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D1059876) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.