Individual provider Active NPI

Evangeline Thibodeau

  • Infectious Disease Physician
  • York, ME
National Provider Identifier
1205005444
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD19168 Issued in ME
Practice address
2 Hospital Dr
Ste a
York, ME 03909-1011
Phone
(207) 351-3530
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X EL03724 NH
Infectious Disease Physician 207RI0200X MD19168 ME Primary

Addresses

Primary practice location

2 Hospital Dr
Ste a
York, ME 03909-1011

Mailing address

2 Hospital Dr
Ste a
York, ME 03909-1011
Phone (207) 351-3530

Other practice location 1

801 Central Ave
Dover, NH 03820-2529
Phone (603) 742-7025

Other practice location 2

10 Members Way Ste 402
Dover, NH 03820-5933
Phone (603) 742-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120723000026 ME Practitioner - Internal MedicinePractitioner - Infectious Disease 6901062819 Reassigns benefits to 1 organization
I20240419000580 NH Practitioner - Infectious DiseasePractitioner - Internal Medicine 6901062819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

112 Sanford Rd
Wells, ME 04090-5533

114 Sanford Rd
Myhealth Wells
Wells, ME 04090-5533
Phone (207) 646-5211

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

155 Borthwick Ave
Suite 202
Portsmouth, NH 03801-7156
Phone (603) 433-8434

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

801 Central Ave
Level1
Dover, NH 03820-2529
Phone (603) 740-2212

Hospital & facility affiliations

  • York Hospital Home Care Home health agency, York, ME, CCN 207070
  • York Hospital Hospital, York, ME, CCN 200020
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19168MEMDInfectious Disease Physician
EL03724NHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Jun 11, 2012 Accepting new patients
Wentworth Douglass Physician Corporation Infectious Disease CurrentSince May 6, 2024 Accepting new patients
Appledore Medical Group, Inc Infectious Disease CurrentSince Mar 3, 2026 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince May 6, 2024 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice CurrentSince Mar 3, 2026 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients

Locations

2 Hospital Dr
#A
York, ME 03909
Phone (207) 351-1513

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

10 Members Way
Ste 401
Dover, NH 03820
Phone (603) 516-0092

801 Central Ave
Dover, NH 03820
Phone (603) 742-3666

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

10 Members Way
Ste 402
Dover, NH 03820
Phone (603) 740-9713

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

155 Borthwick Ave
Ste 202
Portsmouth, NH 03801
Phone (603) 433-8434

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: evangaline.thibodeau@yh.eclinicaldirectplus.com

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1205005444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "STE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "STE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202529",
            "country_code": "US",
            "telephone_number": "603-742-7025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Members Way Ste 402",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "EVANGELINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NH",
            "license": "EL03724",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ME",
            "license": "MD19168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.