NPIMap

Individual provider Active NPI

Dennis Page, NP

  • Nurse Practitioner
  • Lincoln, ME
National Provider Identifier
1508208976
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024170791 Issued in VA
Practice address
175 W Broadway
Lincoln, ME 04457-4000
Phone
(207) 794-6700
NPI assigned
Jul 25, 2013
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170791 VA
Nurse Practitioner 363L00000X 0024170791 VA Primary

Addresses

Primary practice location

175 W Broadway
Lincoln, ME 04457-4000

Mailing address

PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210325002171 ME Practitioner - Nurse Practitioner 7416191119 Reassigns benefits to 1 organization
I20251117002944 TX Practitioner - Nurse Practitioner 7416191119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170791VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Aleutian Tribes, Inc. CurrentSince Oct 24, 2025 Accepting new patients
Health Access Network, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Health Access Network, Inc CurrentSince Feb 22, 2021 Accepting new patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 24, 2025 Accepting new patients

Locations

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1508208976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044570099",
            "telephone_number": "207-794-6700",
            "fax_number": "207-403-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W BROADWAY",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574000",
            "telephone_number": "207-794-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "DENNIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2021-08-09",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170791",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

Verify at the official NPI Registry.