Organization Active NPI

True North Anesthesia L.L.C.

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
National Provider Identifier
1194176040
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TRUE NORTH ANESTHESIA L.L.C.
Practice address
455 Harlow St
Bangor, ME 04401-4917
Phone
(614) 553-0964
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Kathy Maxwell
Title
Ceo
Phone
(207) 992-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

455 Harlow St
Bangor, ME 04401-4917

Mailing address

PO Box 986520
Boston, MA 02298-6520
Phone (207) 784-2554

Other practice location 1

141 N Main St
Suite 205
Brewer, ME 04412-2011
Phone (207) 992-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920000443 ME Part B Supplier - Clinic/Group Practice 1658668694 Receives reassigned benefits from 16 practitioners
Practice locations: Portland, ME; Waterville, ME

National Provider Directory

National Provider Directory

Locations

455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032

900 Hammond St
#A
Bangor, ME 04401
Phone (207) 947-6743

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1194176040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986520",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986520",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014917",
            "telephone_number": "614-553-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Main St",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044122011",
            "country_code": "US",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUE NORTH ANESTHESIA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-992-4032"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.