Active NPI
Lindsay M Duplisea-White, MSPT
- Specialist
- Bangor, ME
National Provider Identifier
1497766398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT3173
- Practice address
- 1365 Broadway
Bangor, ME 04401-2401 - Phone
- (207) 942-2233
- Fax
- (207) 262-1130
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT3173 | ME | Primary |
Addresses
Primary practice location
1365 Broadway
Bangor, ME 04401-2401
Mailing address
1365 Broadway
Bangor, ME 04401-2401
Phone (207) 942-6226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061003000436 | ME | Practitioner - Physical Therapist in Private Practice | 1052316684 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Pain Management PC
Practice addresses (Care Compare)
1365 Broadway
Bangor, ME 04401-2401
Phone (207) 942-6226
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.26 of 100
- Quality
- 96.06
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Pain Management, PC | Current | Accepting new patients |
Locations
1365 Broadway
Bangor, ME 04401
Phone (207) 942-2233
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1497766398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012401",
"telephone_number": "207-942-6226",
"fax_number": "207-262-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012401",
"telephone_number": "207-942-2233",
"fax_number": "207-262-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLISEA-WHITE",
"first_name": "LINDSAY",
"middle_name": "M",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "PT3173",
"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 Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.