Karen J Bossie, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Augusta, ME
NPI 1487795837 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1487795837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 1894 (ME)
- Practice address
- 35 Medical Center Pkwy Ste 202
Augusta, ME 04330-8160 - Phone
- (207) 623-3790
- Fax
- (207) 623-3629
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pines Health Services
Mainegeneral Medical Center
Practice addresses (Care Compare)
163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000
Hospital & facility affiliations
- Maine General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051207000393 | ME | Practitioner - Obstetrics/Gynecology | 9638199524 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterville Womens Care Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Pines Health Services | Obstetrics & Gynecology | Current |
Accepting new patients |
| Pines Health Services | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| City of Caribou | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
35 Medical Center Pkwy
Ste 202
Augusta, ME 04330
Phone (207) 623-3790
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
25 First Park Dr
Ste D
Oakland, ME 04963
Phone (207) 877-7477
295 Kennedy Memorial Dr
Ste 6
Waterville, ME 04901
Phone (207) 623-3790
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- karenbossie@mgh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1894 | ME | Yes |
Addresses
Primary practice location
35 Medical Center Pkwy Ste 202
Augusta, ME 04330-8160
Mailing address
295 Kennedy Memorial Dr Ste 6
Waterville, ME 04901-4535
Phone (207) 623-3790
Other practice location 1
295 Kennedy Memorial Dr Ste 6
Waterville, ME 04901-4535
Phone (207) 623-3790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432477299 | Medicaid | ME |
NPI Registry JSON
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1487795837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 KENNEDY MEMORIAL DR STE 6",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014535",
"telephone_number": "207-623-3790",
"fax_number": "207-623-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY STE 202",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-623-3790",
"fax_number": "207-623-3629"
}
],
"practiceLocations": [
{
"address_1": "295 Kennedy Memorial Dr Ste 6",
"address_purpose": "LOCATION",
"city": "Waterville",
"state": "ME",
"postal_code": "049014535",
"country_code": "US",
"telephone_number": "207-623-3790",
"fax_number": "207-877-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSSIE",
"first_name": "KAREN",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "1894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432477299",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
- Timothy J Borelli
- Lisa Bosinger
- Emma Madeline Bossaert
- Mason Andrew Bosse
- Gena Bosshart
- Seana Bouchard
- Susanne Margarete Bouchard
- Travis Jeffery Bouchard
- Cheryl Boucher
- Rob S Boudewijn
All providers in Augusta, ME · Obstetrics & Gynecology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.