Active NPI
Be Well My Friend LLC
- Family Medicine Physician
- Augusta, ME
National Provider Identifier
1104250158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2105
- Legal business name
- BE WELL MY FRIEND LLC
- Practice address
- 12 Shuman Ave Ste 6
Augusta, ME 04330-6020 - Phone
- (207) 307-0958
- Fax
- (207) 512-5909
- NPI assigned
- Aug 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D Dufresne, DO
- Title
- Owner
- Phone
- (207) 307-0958
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2105 | ME | Primary |
Addresses
Primary practice location
12 Shuman Ave Ste 6
Augusta, ME 04330-6020
Mailing address
12 Shuman Ave Ste 6
Augusta, ME 04330-6020
Phone (207) 307-0958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140522001413 | ME | Part B Supplier - Clinic/Group Practice | 6406079342 |
Receives reassigned benefits from 11 practitioners Practice locations: Augusta, ME |
National Provider Directory
National Provider DirectoryLocations
12 Shuman Ave
Ste 3
Augusta, ME 04330
Phone (207) 629-5522
1 Riverfront Plz
Westbrook, ME 04092
Phone (207) 885-9905
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Augusta, ME
- NPI 1669184602
ME
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2069606 | Be Well My Friend, LLC | Certificate of waiver | Apr 6, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754006400000",
"number": "1104250158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SHUMAN AVE STE 6",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306020",
"telephone_number": "207-307-0958",
"fax_number": "207-512-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SHUMAN AVE STE 6",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306020",
"telephone_number": "207-307-0958",
"fax_number": "207-512-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE WELL MY FRIEND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A",
"authorized_official_last_name": "DUFRESNE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-307-0958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ME",
"license": "2105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.