HOLLY HAEBERLEIN
NPI 1932537800
Dermatology in Bangor, ME
About Holly Haeberlein NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY HAEBERLEIN (NPI 1932537800) is an individual dermatology provider in Bangor, Maine, licensed in Maine (CNP131096) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Holly Haeberlein 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.
Medicare Billing Reassignment
Medicare enrollment records show Holly Haeberlein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Penobscot Valley Dermatology PA
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Holly Haeberlein's NPI number?
The NPI number for Holly Haeberlein is 1932537800. It was assigned to this individual provider in the NPPES registry on October 31, 2013.
Where is Holly Haeberlein located?
Holly Haeberlein practices at 90 Ridgewood Dr, Bangor, ME 04401. The listed phone number is (207) 942-0669.
What is Holly Haeberlein's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Holly Haeberlein enrolled in Medicare?
Yes. Holly Haeberlein 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 Holly Haeberlein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Haeberlein reassigns Medicare benefits to Penobscot Valley Dermatology, P.A. (Bangor, 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 Holly Haeberlein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Haeberlein accept?
Health plans from Anthem Blue Cross and Blue Shield list Holly Haeberlein 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 Holly Haeberlein was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Holly Haeberlein · NPI 1932537800
Dermatology physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since October 31, 2013.
## Identity
- **NPI:** 1932537800 (Entity type: Individual)
- **Enumerated:** October 31, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** CNP131096 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 RIDGEWOOD DR, Bangor, ME 04401-2652
- **Phone:** (207) 942-0669 · **Fax:** (207) 947-3143
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Penobscot Valley Dermatology, P.A. (NPI 1952536880, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 31, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1932537800) · Data from the CMS NPPES public registry.