Dennis Page, NP
Individual provider Active NPI Nurse Practitioner · Lincoln, ME
NPI 1508208976 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1508208976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024170791 (VA)
- Practice address
- 175 W Broadway
Lincoln, ME 04457-4000 - Phone
- (207) 794-6700
- NPI assigned
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Aleutian Tribes, Inc.
Practice addresses (Care Compare)
100 Slocum Dr
King Cove, AK 99612-0100
Phone (907) 497-2311
172 Red Cove Rd
Sand Point, AK 99661-0172
Phone (907) 383-3151
2105 Main St
Adak, AK 99546-2105
Phone (907) 592-8383
Hospital & facility affiliations
- Alaska Native Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325002171 | ME | Practitioner - Nurse Practitioner | 7416191119 | Reassigns benefits to 1 organization |
| I20251117002944 | TX | Practitioner - Nurse Practitioner | 7416191119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024170791 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Access Network, Inc. | Current |
Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Current |
Accepting new patients | |
| Health Access Network, Inc | Current |
Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Current |
Accepting new patients |
Locations
3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBFIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170791 | VA | |
| Nurse Practitioner | 363L00000X | 0024170791 | VA | Yes |
Addresses
Primary practice location
175 W Broadway
Lincoln, ME 04457-4000
Mailing address
PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. 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.