Active NPI
Mainehealth
Doing business as MaineHealth Primary Care Family Medicine
- Rural Health Clinic/Center
- Stockton Springs, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 36424
- Legal business name
- MAINEHEALTH
- Doing business as
- MaineHealth Primary Care Family Medicine
MaineHealth Stockton Springs Health Center - Practice address
- Cape Jellison Road
Stockton Springs, ME 04981 - Phone
- (207) 567-4000
- Fax
- (207) 567-4084
- NPI assigned
- Nov 24, 2006
- Last updated
- Apr 14, 2026
- Organization subpart
- Yes
- Parent organization
- MAINEHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Hunter
- Title
- Senior Vice President
- Phone
- (207) 662-2272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 36424 | ME | Primary |
Addresses
Primary practice location
Cape Jellison Road
Stockton Springs, ME 04981
Mailing address
PO Box 360489
Pittsburgh, PA 15251-6489
Phone (207) 567-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101570200 | Medicaid | ME |
Other names 2
- MaineHealth Primary Care Family Medicine
- MaineHealth Stockton Springs Health Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181105003140 | ME | Part A Provider - Rural Health Clinic | 7517860588 | Practice locations: Stockton Springs, ME |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295800118. Details of each certification follow.
Rural health clinic certification: CCN 203985
- Legal name
- MAINEHEALTH
- Doing business as
- MAINEHEALTH STOCKTON SPRINGS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 1, 1999
- Last certification
- Jan 9, 2025
- Ownership / control type
- 2B
- Most recent change of ownership
- Jan 1, 2019 (1 total)
- Organization structure
- Corporation
- Incorporated
- Mar 21, 1951 in ME
- Enrollment address
- 11 Cape Jellison Rd
Stockton Springs, ME 04981-4349
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
- Part of
- Maine Medical Assoc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Family Practice Service
- Family Medicine Physician
- Portland, ME
- NPI 1376551861
-
dba MaineHealth Primary Care Internal Medicine
- General Acute Care Hospital
- Bath, ME
- NPI 1083533723
-
dba Assisted Living at St. Andrews Village
- Assisted Living Facility
- Boothbay Harbor, ME
- NPI 1093801284
-
- Medicare Defined Swing Bed Hospital Unit
- Belfast, ME
- NPI 1184944878
-
dba MMC Family Practice Residency Program
- Family Medicine Physician
- Portland, ME
- NPI 1225232606
-
dba MaineHealth Franklin Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1245873082
-
dba MaineHealth Virtual Care Virtual Quick Care
- Urgent Care Clinic/Center
- Portland, ME
- NPI 1265251540
-
dba Safe Haven at St. Andrews Village
- Alzheimer Center (Dementia Center)
- Boothbay Harbor, ME
- NPI 1265915912
Locations
11 Cape Jellison Rd
Stockton Springs, ME 04981
Phone (207) 567-4000
Ownership & related parties
All disclosed owners & managing parties 33
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy a Hasenfus | Corporate Director | Jan 1, 2019 | |
| Brett Loffredo | Corporate Director | Jan 1, 2019 | |
| Brian H Noyes | Corporate Director | Jan 1, 2019 | |
| Dawn M Tutt | W-2 Managing Employee | Jan 1, 2019 | |
| Marie J McCarthy | Corporate Director | Jan 1, 2019 | |
| Matthew Chin | Corporate Director | Oct 1, 2025 | |
| Katherine B Coster | Corporate Director | Jan 1, 2019 | |
| Beth Kelsch | Corporate Officer | Jan 1, 2019 | |
| Robert Hunter | Corporate Officer | Sep 26, 2025 | |
| Ethel Whitcomb | W-2 Managing Employee | Aug 9, 2014 | |
| Ann W Bresnahan | Corporate Director | Oct 1, 2023 | |
| Christopher Cimino | Corporate Director | Oct 1, 2025 | |
| Andrew T Mueller | Corporate Officer | Apr 8, 2021 | |
| Lisa T Beaule | Corporate Director | Jan 1, 2019 | |
| Charles Richard Bayman | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jan 1, 2025 | ||
| Kelly a Elkins | Corporate Officer | Jan 1, 2019 | |
| Jennifer Kent | Corporate Director | Oct 1, 2025 | |
| Peter W Wood | Corporate Director | Jan 1, 2019 | |
| Thomas J Ryan | Corporate Director | Jan 1, 2019 | |
| David J Kumaki | Corporate Director | Jan 1, 2019 | |
| Quincy Hentzel | Corporate Director | Oct 1, 2025 | |
| Morris L Fisher | Corporate Director | Jan 1, 2019 | |
| Leslie Clinton Boothby | Corporate Director | Jan 1, 2019 | |
| Kathleen Herlihy | Corporate Director | Jan 1, 2019 | |
| Mainehealth Services | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Linda M. Terry | Corporate Director | Jan 1, 2019 | |
| Heather R Shanklin | Corporate Officer | Jan 1, 2019 | |
| Peter C Manning | Corporate Director | Jan 1, 2019 | |
| Alissa Chasse | W-2 Managing Employee | Dec 30, 2013 | |
| Daniel L Loiselle | Corporate Director | Jan 1, 2019 | |
| Matthew P Orlando | Corporate Director | Oct 1, 2024 | |
| Stuart H Watson | Corporate Director | Jan 1, 2021 | |
| Amanda Rand | Corporate Director | Jan 1, 2019 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Biddeford, ME
- NPI 1902977077
Corporate Director
-
- Interventional Cardiology Physician
- Scarborough, ME
- NPI 1326019563
Corporate Director
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mid Coast Senior Health Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2021 Oct 16, 2025 |
| Coves Edge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
Facilities with the same owner 29
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Coves Edge Nursing Facility
- Nursing Facility/Intermediate Care Facility
- Damariscotta, ME
- NPI 1477648962
Mainehealth Services
-
dba MaineHealth Medd Health Center
- Rural Health Clinic/Center
- Norway, ME
- NPI 1053601864
Mainehealth Services
-
dba MaineHealth Franklin Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1245873082
Mainehealth Services
-
dba MaineHealth Lincoln Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Damariscotta, ME
- NPI 1316035116
Mainehealth Services
-
dba MaineHealth Stephens Hospital
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
Mainehealth Services
-
dba MaineHealth Herbert and Roberta Watson Health Center
- Rural Health Clinic/Center
- Damariscotta, ME
- NPI 1477629384
Mainehealth Services
-
dba MaineHealth Arthur Jewell Health Center
- Rural Health Clinic/Center
- Brooks, ME
- NPI 1487720215
Mainehealth Services
-
dba Gregory Wing at St. Andrews Village
- Nursing Facility/Intermediate Care Facility
- Boothbay Harbor, ME
- NPI 1528151065
Mainehealth Services
-
dba MaineHealth Behavioral Health at Spring Harbor
- Psychiatric Hospital
- Westbrook, ME
- NPI 1598798787
Mainehealth Services
-
dba MaineHealth MT Blue Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1619510047
Mainehealth Services
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
Mainehealth Services
-
dba MaineHealth Pediatrics
- Rural Health Clinic/Center
- Norway, ME
- NPI 1811288061
Mainehealth Services
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Bangor, ME
- NPI 1306913231
-
- Family Medicine Physician
- Stockton Springs, ME
- NPI 1447719471
-
- Family Medicine Physician
- Stockton Springs, ME
- NPI 1730592205
-
- Clinical Social Worker
- Brooks, ME
- NPI 1407254519
-
- Family Medicine Physician
- Stockton Springs, ME
- NPI 1518035450
-
- Family Medicine Physician
- Augusta, ME
- NPI 1174751697
-
- Nurse Practitioner
- Brooks, ME
- NPI 1356418685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1295800118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360489",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152516489",
"telephone_number": "207-567-4000",
"fax_number": "207-567-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPE JELLISON ROAD",
"city": "STOCKTON SPRINGS",
"state": "ME",
"postal_code": "04981",
"telephone_number": "207-567-4000",
"fax_number": "207-567-4084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAINEHEALTH",
"enumeration_date": "2006-11-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "207-662-2272"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "ME",
"license": "36424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101570200",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MaineHealth Primary Care Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MaineHealth Stockton Springs Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stockton Springs, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.