Active NPI
Alexandria Mickenzie Betz, DO
- Maternal & Fetal Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- DO2906
- Practice address
- 887 Congress St Ste 200
Portland, ME 04102-3166 - Phone
- (207) 771-5549
- NPI assigned
- Apr 1, 2011
- Last updated
- Apr 23, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 23858 | NH | |
| Maternal & Fetal Medicine Physician | 207VM0101X | DO-04699 | IA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | DO2906 | ME | Primary |
Addresses
Primary practice location
887 Congress St Ste 200
Portland, ME 04102-3166
Mailing address
100 N Academy Ave Dept of
Danville, PA 17822-9800
Phone (443) 722-3488
Other practice location 1
330 Sabattus St
Lewiston, ME 04240-5553
Phone (207) 777-4300
Other practice location 2
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000
417 State St
Bangor, ME 04401-6634
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
887 Congress St
Suite 200
Portland, ME 04102-3166
Phone (207) 771-5549
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-04699 | IA | MD | Maternal & Fetal Medicine Physician |
| DO2906 | ME | MD | Maternal & Fetal Medicine Physician |
| 23858 | NH | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Maine Medical Partners | Maternal & Fetal Medicine | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
489 State St
Bangor, ME 04401
Phone (207) 973-8837
12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-2935
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
330 Sabattus St
Lewiston, ME 04240
Phone (207) 777-4300
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
149 North St
Waterville, ME 04901
Phone (207) 622-1959
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- abetz275058@direct.mmc.mainehealth.org
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 20
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba Maine Medical Partners Women's Health
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
Maternal & Fetal Medicine
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba MaineHealth Memorial Hospital
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Hospital
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Hospital
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
dba Maine Medical Partners Endocrinlogy & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
Hospital
-
dba MMC Pediatric Urology
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1538458377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE DEPT OF",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "443-722-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 CONGRESS ST STE 200",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023166",
"telephone_number": "207-771-5549"
}
],
"practiceLocations": [
{
"address_1": "330 Sabattus St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042405553",
"country_code": "US",
"telephone_number": "207-777-4300",
"fax_number": "207-755-3021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "603-356-9355",
"fax_number": "603-356-8843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETZ",
"first_name": "ALEXANDRIA",
"middle_name": "MICKENZIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NH",
"license": "23858",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IA",
"license": "DO-04699",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "ME",
"license": "DO2906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.