Active NPI
Els Sincebaugh, PAC
- Physician Assistant
- Rangeley, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00054600
- Practice address
- 42 Dallas Hill Rd
Rangeley, ME 04970-4032 - Phone
- (207) 864-3303
- Fax
- (207) 864-2969
- NPI assigned
- Jan 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00054600 | NJ | Primary |
Addresses
Primary practice location
42 Dallas Hill Rd
Rangeley, ME 04970-4032
Mailing address
PO Box 727
Waterville, ME 04903-0727
Phone (207) 864-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201000993 | ME | Practitioner - Physician Assistant | 2567615164 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Convenientmd - FFS UC LLC
Practice addresses (Care Compare)
4 Whitten Rd
Augusta, ME 04330-6019
Phone (207) 466-2400
600 Ctr St
Auburn, ME 04210-6311
Phone (207) 955-5565
Hospital & facility affiliations
- Mainehealth Franklin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00054600 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Hopewell Valley Medical Group, P a | Past | Accepting new patients | |
| Azz Medical Associates PC | Past | Accepting new patients |
Locations
600 Center St
Auburn, ME 04210
Phone (207) 783-8951
193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- Urgent Care Clinic/Center
- Nashua, NH
- NPI 1851082291
-
- Urgent Care Clinic/Center
- Saco, ME
- NPI 1114618659
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Internal Medicine Physician
- Ewing, NJ
- NPI 1699704809
-
- Internal Medicine Physician
- Trenton, NJ
- NPI 1033189147
Hospital & facility affiliations 1
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": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1629124136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049030727",
"telephone_number": "207-864-3303",
"fax_number": "207-864-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DALLAS HILL RD",
"city": "RANGELEY",
"state": "ME",
"postal_code": "049704032",
"telephone_number": "207-864-3303",
"fax_number": "207-864-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCEBAUGH",
"first_name": "ELS",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00054600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rangeley, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.