NPIMap

Individual provider Active NPI

Carlen Smith

  • Geriatric Medicine (Family Medicine) Physician
  • Augusta, ME
National Provider Identifier
1295199453
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD23136 Issued in ME
Practice address
6 E Chestnut St
Augusta, ME 04330-5758
Phone
(207) 626-7400
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD23136 ME Primary

Addresses

Primary practice location

6 E Chestnut St
Augusta, ME 04330-5758

Mailing address

6 E Chestnut St
Augusta, ME 04330-5758
Phone (207) 626-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924000107 ME Practitioner - Geriatric Medicine 2860787314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

6 E Chestnut St
Augusta, ME 04330-5758
Phone (207) 621-1000

Hospital & facility affiliations

  • Mainegeneral Community Care Home health agency, Waterville, ME, CCN 207021
  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073
  • Mainegeneral Community Care Hospice, Waterville, ME, CCN 201500
  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainegeneral Rehab & Long Term Care - Gray Birch Nursing home, Augusta, ME, CCN 205054

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23136MEMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Aug 7, 2019 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 7, 2019 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Woodlands Senior Living of Hallowell, LLC Past Accepting new patients
Mainegeneral Rehabilitation and Long Term Care Past Accepting new patients
Woodlands Senior Living of Farmington, LLC Past Accepting new patients
Woodlands Senior Living of Waterville, Inc. Past Accepting new patients
Woodlands Senior Living of Farmington, LLC Past Accepting new patients
Woodlands Senior Living of Hallowell, LLC Past Accepting new patients

Locations

37 Gray Birch Dr
Augusta, ME 04330
Phone (207) 621-7100

6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: carlensmith@mgh.allscriptsdirect.net

Organizations & group practices 10

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 4

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1295199453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305758",
            "telephone_number": "207-626-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305758",
            "telephone_number": "207-626-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD23136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.