NPIMap

Individual provider Active NPI

Lise M Cloutier, MD

  • Internal Medicine Physician
  • Kennebunk, ME
National Provider Identifier
1386624096
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15050 Issued in ME
Practice address
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone
(207) 467-8988
Fax
(207) 467-8969
NPI assigned
Jan 19, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD15050 ME Primary

Addresses

Primary practice location

2 Livewell Dr
Kennebunk, ME 04043-6762

Mailing address

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8988

Other practice location 1

12 High St
Ste 400
Lewiston, ME 04240-7634
Phone (207) 795-5700

Other identifiers 1

IdentifierTypeStateIssuer
010211494MedicaidME

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
I20050421000954 ME Practitioner - Internal Medicine 7911945795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8988

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15050MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 1, 2026 Accepting new patients
Central Maine Medical Center CurrentSince Sep 21, 1999 Accepting new patients
Mainehealth CurrentSince Mar 1, 2026 Accepting new patients
Central Maine Medical Center CurrentSince Sep 21, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900

12 High St
Ste 400
Lewiston, ME 04240
Phone (207) 795-5700

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 6

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

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1386624096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LIVEWELL DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436762",
            "telephone_number": "207-467-8988",
            "fax_number": "207-467-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LIVEWELL DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436762",
            "telephone_number": "207-467-8988",
            "fax_number": "207-467-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 High St",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407634",
            "country_code": "US",
            "telephone_number": "207-795-5700",
            "fax_number": "207-795-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "LISE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD15050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010211494",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.