Individual provider Active NPI

Els Sincebaugh, PAC

  • Physician Assistant
  • Rangeley, ME
National Provider Identifier
1629124136
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00054600 Issued in NJ
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

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5193186492, 397 clinicians

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 Hospital, Farmington, ME, CCN 201316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00054600NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 5, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 5, 2025 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.

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

Verify at the official NPI Registry.