Active NPI
Integrated Osteoporosis Clinic
- Family Nurse Practitioner
- Bangor, ME
National Provider Identifier
1336032283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- INTEGRATED OSTEOPOROSIS CLINIC
- Practice address
- 700 Main St Ste 3
Bangor, ME 04401-6800 - Phone
- (207) 659-8366
- Fax
- (808) 999-7636
- NPI assigned
- May 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elizabeth Mary Duke, FNP-C
- Title
- Owner
- Phone
- (207) 478-8508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
700 Main St Ste 3
Bangor, ME 04401-6800
Mailing address
700 Main St Ste 3
Bangor, ME 04401-6800
Phone (207) 659-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251118002853 | ME | Part B Supplier - Clinic/Group Practice | 4880185701 |
Receives reassigned benefits from 1 practitioner Practice locations: Brewer, ME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1336032283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MAIN ST STE 3",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016800",
"telephone_number": "207-659-8366",
"fax_number": "808-999-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MAIN ST STE 3",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016800",
"telephone_number": "207-659-8366",
"fax_number": "808-999-7636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED OSTEOPOROSIS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-478-8508",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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 May 30, 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.