Individual provider Active NPI

Ellen M Anderson, DPM

  • Podiatrist
  • Dover Foxcroft, ME
National Provider Identifier
1104928464
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD155 Issued in ME
Practice address
188 Summer St
Dover Foxcroft, ME 04426-1129
Phone
(207) 538-3700
Fax
(207) 528-2880
NPI assigned
Sep 5, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD155 ME Primary

Addresses

Primary practice location

188 Summer St
Dover Foxcroft, ME 04426-1129

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000151 ME Practitioner - Podiatry 7911938972 Reassigns benefits to 1 organization
Practice locations: Dover-Foxcroft, ME

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sebasticook Family DoctorsGroup PAC ID 8224924576, 9 clinicians

Practice addresses (Care Compare)

118 Moosehead TRL
Suite 5
Newport, ME 04953-4056
Phone (207) 368-5189

29 Church St
Dexter, ME 04930-1320
Phone (207) 924-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Family Doctors CurrentSince Jun 1, 2021 Accepting new patients
Sebasticook Family Doctors Current Accepting new patients
Sebasticook Family Doctors CurrentSince Jun 1, 2021 Accepting new patients

Locations

29 Church St
Dexter, ME 04930
Phone (207) 487-4016

118 Moosehead Trl
Ste 5
Newport, ME 04953
Phone (207) 368-4213

291 Williams Rd
Newport, ME 04953
Phone (207) 355-3508

55 Fletcher Dr
Palmyra, ME 04965
Phone (207) 368-5189

Interoperability endpoints

  • Direct secure messaging: ellen.andersondpm.p1@direct.hhcme.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1104928464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SUMMER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261129",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.