SIMMONE LOUISE BABINEAUX FNP
NPI 1982003208
Family Medicine in Blue Hill, ME

Active since August 22, 2014PECOS Enrolled
104 MAIN ST UNIT 566, BLUE HILL, ME 04614(337) 519-9920 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2025, Mar 1, 2019 (2 updates tracked since 2019).

About Simmone Louise Babineaux Fnp NPPES

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

SIMMONE LOUISE BABINEAUX FNP (NPI 1982003208) is an individual family medicine provider in Blue Hill, Maine, licensed in Maine (CNP221551) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982003208
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIMMONE LOUISE BABINEAUXCredential: FNP
Location Address104 MAIN ST UNIT 566Blue Hill, ME 04614-1722
Mailing Address104 Main St Unit 566Blue Hill, ME 04614-1722 · (337) 519-9920
Sole ProprietorYes
Enumeration DateAugust 22, 2014
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1982003208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · CNP221551
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.
104 MAIN ST UNIT 566, Blue Hill, ME 04614

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simmone Louise Babineaux Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Simmone Babineaux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
57 WATER STREET
Blue Hill, ME 04614
  • Reassigned Medicare billing, Maine enrollment
  • 125 clinicians in this Medicare group
Internal Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 174 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Simmone Babineaux's NPI number?

The NPI number for Simmone Babineaux is 1982003208. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Simmone Babineaux located?

Simmone Babineaux practices at 104 Main St Unit 566, Blue Hill, ME 04614. The listed phone number is (337) 519-9920.

What is Simmone Babineaux's specialty?

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

Is Simmone Babineaux enrolled in Medicare?

Yes. Simmone Babineaux is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simmone Babineaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simmone Babineaux reassigns Medicare benefits to 2 organizations: The Blue Hill Memorial Hospital (Blue Hill, ME) and Maine Coast Regional Health Facilities (Ellsworth, ME). Each 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 Simmone Babineaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simmone Babineaux accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Simmone Babineaux 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 Simmone Babineaux was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.