CONVENIENTMD LLC
NPI 1851991251
Clinic/Center - Urgent Care in Ellsworth, ME

Active since October 27, 2020CLIA 20D2204754 · Waiver
235 HIGH ST, ELLSWORTH, ME 04605(207) 412-5200 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Convenientmd Llc NPPES

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

CONVENIENTMD LLC (NPI 1851991251) is a healthcare organization registered as an urgent care in Ellsworth, Maine and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Jarod Boissonneault, Director Of Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1851991251
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCONVENIENTMD LLC
Location Address235 HIGH STEllsworth, ME 04605-1715
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Organization SubpartNo
Authorized OfficialJarod BoissonneaultDirector Of Revenue Cycle Mgt · (603) 319-6223
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1851991251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
235 HIGH ST, Ellsworth, ME 04605

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Convenientmd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Convenientmd LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Family Practice
NPI 1083913735
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1881019370
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1033846696
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1689177867
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1023278272
211 MARGINAL WAY
Portland, ME 04101
(207) 544-9355
✔ PECOS110 mi
Nurse Practitioner
NPI 1871783605
15 PLEASANT HILL RD STE 204
Scarborough, ME 04074
(207) 233-7980
✔ PECOS✔ Accepts Medicare114 mi
Nurse Practitioner
NPI 1609269315
69 YORK ST STE 4
Kennebunk, ME 04043
(207) 467-3088
✔ PECOS133 mi
Nurse Practitioner
NPI 1386270320
8 GREENLEAF WOODS DR
Portsmouth, NH 03801
(603) 749-2346
✔ PECOS✔ Accepts Medicare156 mi

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 20D2204754

Convenientmd Urgent Care Ellsworth · Ellsworth, ME
Active · expires Dec 14, 2026
CLIA Number20D2204754
Laboratory TypeUrgent Care
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorShamrang Khalsa
Laboratory Phone(207) 412-5200
Laboratory LocationConvenientmd Urgent Care Ellsworth235 High Street, Ellsworth, ME 04605
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 Convenientmd LLC's NPI number?

The NPI number for Convenientmd LLC is 1851991251. It was assigned to this organization in the NPPES registry on October 27, 2020.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 235 High St, Ellsworth, ME 04605. The listed phone number is (207) 412-5200.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Convenientmd LLC enrolled in Medicare?

Yes. Convenientmd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Convenientmd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Convenientmd LLC. 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 (6), Family Practice (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Convenientmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2204754) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Convenientmd LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Convenientmd LLC 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 Convenientmd LLC was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.