St Croix Regional Family Health Center
A Medicare group practice based in Calais, ME: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3577524024), with 22 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3577524024
- Provider type
- DME Supplier - Physician - Optometrist, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- ME
- Enrollments
- 5
- Group size
- 21 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041019000977 | ME | Part B Supplier - Clinic/Group Practice | 1831174614 |
| O20210511002456 | ME | Part A Provider - Federally Qualified Health Center (FQHC) | 1467573469 |
| O20220131002321 | ME | Part A Provider - Federally Qualified Health Center (FQHC) | 1083379655 |
| O20081024000307 | ME | Part A Provider - Federally Qualified Health Center (FQHC) | 1831174614 |
| O20250501000073 | ME | DME Supplier - Physician - Optometrist | 1831174614 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St Croix Regional Family Health Center
- Federally Qualified Health Center (FQHC)
- Calais, ME
- NPI 1083379655
-
St Croix Regional Family Health Center
- Federally Qualified Health Center (FQHC)
- Calais, ME
- NPI 1467573469
-
St Croix Regional Family Health Center
- Federally Qualified Health Center (FQHC)
- Princeton, ME
- NPI 1831174614
Practice locations
- Calais, ME4
- Princeton, ME3
Clinicians 22
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (21).
-
Nicole Marie Bradbury, LCSW
- Clinical Social Worker
- Cottonwood, AZ
- NPI 1366119927
-
Ernesto Cantu Jr., D.O.
- General Practice Physician
- Saint Albans, VT
- NPI 1164837605
-
Beth Ann Chabre, NP
- Family Nurse Practitioner
- Princeton, ME
- NPI 1952826042
-
Tara CL Dwelley, CNP
- Family Nurse Practitioner
- Princeton, ME
- NPI 1780649137
-
Christian Emery, D.C.
- Chiropractor
- Calais, ME
- NPI 1992659155
-
Gregory Michael Farrell, O.D.
- Optometrist
- Princeton, ME
- NPI 1528141348
-
Michael Farrell, D.C.
- Chiropractor
- Princeton, ME
- NPI 1962950733
-
Andrea J Ford, MS, LPC, LCDC
- Mental Health Counselor
- Lancaster, TX
- NPI 1891034278
-
Sally Johnson, FNP-BC
- Family Nurse Practitioner
- Princeton, ME
- NPI 1457336224
-
Mark Kaplan, DO
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1861498461
-
Peter Josiah Knowles, D.C.
- Chiropractor
- Machias, ME
- NPI 1992847180
-
Nima Moghaddas, DPM
- Primary Podiatric Medicine Podiatrist
- Calais, ME
- NPI 1376625426
-
Marisol Rivera
- Clinical Social Worker
- Princeton, ME
- NPI 1043417058
-
Jacqueline M Russell, DO
- Family Medicine Physician
- Calais, ME
- NPI 1730742107
-
Janice Marie Small, FNP
- Family Nurse Practitioner
- Princeton, ME
- NPI 1457724148
-
Judy Splittgerber, PMHNP-BC, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Princeton, ME
- NPI 1003996646
-
Michael Swope, APRN-CNP
- Family Nurse Practitioner
- Princeton, ME
- NPI 1184326787
-
Patricia Jean Todd-Lewis, LCSW
- Clinical Social Worker
- Princeton, ME
- NPI 1689747479
-
Brittany Voisine
- Psychiatric/Mental Health Nurse Practitioner
- Calais, ME
- NPI 1760131510
-
Christine White, M.D.
- Psychiatry Physician
- Princeton, ME
- NPI 1336124114
-
Yazhou Zhang
- General Practice Dentistry
- Princeton, ME
- NPI 1801241518
-
Tanya Zivkovic, LCSW
- Clinical Social Worker
- Calais, ME
- NPI 1679083745
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.