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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONVENIENTMD LLC
NPI 1881401552
Family Medicine in Bangor, ME

Active since December 16, 2024CLIA 20D2322037 · Waiver
689 BROADWAY, BANGOR, ME 04401(207) 744-8424(207) 744-8425 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2026, Jan 15, 2026, Sep 18, 2025 and 1 more (4 updates tracked since 2024).

About Convenientmd Llc NPPES

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

CONVENIENTMD LLC (NPI 1881401552) is a healthcare organization registered as a family medicine in Bangor, Maine and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Ray Wahl, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881401552
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONVENIENTMD LLC
Location Address689 BROADWAYBangor, ME 04401-3366
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 309-9601
Phone(207) 744-8424
Fax(207) 744-8425
Organization SubpartYes
Authorized OfficialRay WahlCeo · (603) 410-6700
Enumeration DateDecember 16, 2024
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1881401552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
689 BROADWAY, Bangor, ME 04401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Sarah Crane, DO
Family Practice
NPI 1083913735
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts MedicareSame address
Allison Davis
Nurse Practitioner
NPI 1881019370
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts MedicareSame address
Anne Gaspar, FNP
Nurse Practitioner
NPI 1033846696
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts MedicareSame address
Amber Grissom, DNP, AGNP-C
Nurse Practitioner
NPI 1689177867
689 BROADWAY
Bangor, ME 04401
(207) 744-8424
✔ PECOS✔ Accepts MedicareSame address
Karin Doehne, MD
Internal Medicine
NPI 1023278272
211 MARGINAL WAY
Portland, ME 04101
(207) 544-9355
✔ PECOS109 mi
Alison Cameron, N.P.
Nurse Practitioner
NPI 1871783605
15 PLEASANT HILL RD STE 204
Scarborough, ME 04074
(207) 233-7980
✔ PECOS✔ Accepts Medicare113 mi
Jeremy Libby, FNP-C
Nurse Practitioner
NPI 1609269315
69 YORK ST STE 4
Kennebunk, ME 04043
(207) 467-3088
✔ PECOS133 mi
Brooke Friedl, APRN-CNP
Nurse Practitioner
NPI 1386270320
8 GREENLEAF WOODS DR
Portsmouth, NH 03801
(603) 749-2346
✔ PECOS✔ Accepts Medicare158 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 20D2322037

Convenientmd Primary Care - Bangor · Bangor, ME
Active · expires Apr 14, 2027
CLIA Number20D2322037
Laboratory TypePrimary Care
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorKarin M. Doehne
Laboratory Phone(207) 744-8424
Laboratory LocationConvenientmd Primary Care - Bangor689 Broadway, Bangor, ME 04401
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 1881401552. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 689 Broadway, Bangor, ME 04401. The listed phone number is (207) 744-8424.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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). Of these, 4 practice at this address. 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 20D2322037) is associated with this NPI, valid through April 14, 2027. 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 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.