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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: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Sep 18, 2025, Dec 16, 2024 (3 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 Rachel Castellez-davidson, Medical Staffing Lead, 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 OfficialRachel Castellez-davidsonMedical Staffing Lead · (603) 410-6700
Enumeration DateDecember 16, 2024
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 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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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

Other Providers at the Same Location NPPES 4

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

ANNE M GASPAR FNP
Nurse Practitioner (Family)
689 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 744-8424
SARAH JEAN CRANE DO
Family Medicine
689 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 744-8424
DR. AMBER NICOLE GRISSOM DNP, AGNP-C
Nurse Practitioner (Primary Care)
689 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 744-8424
ALLISON DAVIS
Nurse Practitioner (Family)
689 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 744-8424

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.

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 January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.