NPIMap

Individual provider Active NPI

Christine E Payne, MD

  • Family Medicine Physician
  • Belfast, ME
National Provider Identifier
1558388363
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28035 Issued in ME
Practice address
29 Schoodic Dr
Belfast, ME 04915-7246
Phone
(207) 338-6900
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0009716 VT
Family Medicine Physician 207Q00000X MD28035 ME Primary

Addresses

Primary practice location

29 Schoodic Dr
Belfast, ME 04915-7246

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice location 1

130 S Main St
Waterbury Medical Associates
Waterbury, VT 05676-1519
Phone (802) 244-7874

Other identifiers 1

IdentifierTypeStateIssuer
0VN1842MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725003669 ME Practitioner - Family Practice 0547335747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Community Health CenterGroup PAC ID 0143212670, 135 clinicians

Practice addresses (Care Compare)

1012 Union St
Bangor, ME 04401-3058

1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181

29 Schoodic Dr
Belfast, ME 04915-7246
Phone (207) 338-6900

992 Union St
Bangor, ME 04401-3057

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0009716VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center Family Medicine CurrentSince Jul 17, 2024 Accepting new patients
Penobscot Community Health Center CurrentSince Jul 17, 2024 Accepting new patients
Penobscot Community Health Center Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Penobscot Community Health Center Past Accepting new patients

Locations

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

29 Schoodic Dr
Belfast, ME 04915
Phone (207) 218-6001

775 N Main St
Winterport, ME 04496
Phone (207) 223-0965

Organizations & group practices 5

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1558388363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SCHOODIC DR",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157246",
            "telephone_number": "207-338-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Main St",
            "address_2": "Waterbury Medical Associates",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "VT",
            "postal_code": "056761519",
            "country_code": "US",
            "telephone_number": "802-244-7874",
            "fax_number": "802-244-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0009716",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD28035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1842",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.