Individual provider Active NPI

Alexandria Mickenzie Betz, DO

  • Maternal & Fetal Medicine Physician
  • Portland, ME
National Provider Identifier
1538458377
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
DO2906 Issued in ME
Practice address
887 Congress St Ste 200
Portland, ME 04102-3166
Phone
(207) 771-5549
NPI assigned
Apr 1, 2011
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180920000398 PA Practitioner - Obstetrics/Gynecology 4183936248 Reassigns benefits to 1 organization
I20191206001080 ME Practitioner - Obstetrics/Gynecology 4183936248 Reassigns benefits to 7 organizations
I20240624004728 NH Practitioner - Obstetrics/Gynecology 4183936248 Reassigns benefits to 2 organizations

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
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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

LicenseStateTypeSpecialty
DO-04699IAMDMaternal & Fetal Medicine Physician
DO2906MEMDMaternal & Fetal Medicine Physician
23858NHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 1, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Maine Medical Partners Maternal & Fetal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Maine Medical Partners CurrentSince Dec 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Mercy Hospital CurrentSince May 3, 2020 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 6, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 19, 2023 Accepting new patients
Geisinger Clinic CurrentSince Sep 17, 2018 Accepting new patients
Mercy Hospital CurrentSince May 3, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 19, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital CurrentSince Apr 18, 2024 Accepting new patients
Mainehealth CurrentSince Dec 1, 2019 Accepting new patients
Eastern Maine Medical Center CurrentSince Apr 27, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Eastern Maine Medical Center CurrentSince Apr 27, 2020 Accepting new patients
Memorial Hospital CurrentSince Apr 18, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 6, 2020 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

  • Direct secure messaging: abetz275058@direct.mmc.mainehealth.org
  • FHIR API: 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.

View all 20

Hospital & facility affiliations 37

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

View all 37

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

Verify at the official NPI Registry.