Individual provider Active NPI

Stephanie Plasse, DNP

  • Family Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1659924827
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191164 Issued in ME
Practice address
302 Husson Ave Ste 2
Bangor, ME 04401-3373
Phone
(207) 941-2373
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP191164 ME Primary

Addresses

Primary practice location

302 Husson Ave Ste 2
Bangor, ME 04401-3373

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Other practice location 1

543 Broadway
Bangor, ME 04401-3337
Phone (207) 922-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190814000587 ME Practitioner - Nurse Practitioner 8527395599 Reassigns benefits to 1 organization
I20210122000098 CT Practitioner - Nurse Practitioner 8527395599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

543 Broadway
Bangor, ME 04401-3337
Phone (207) 922-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP191164MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Jun 24, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Jun 24, 2025 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Prohealth Physicians PC Family CurrentSince Jan 1, 2021 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

14 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 295-8217

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

543 Broadway
Bangor, ME 04401
Phone (207) 922-1300

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 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1659924827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HUSSON AVE STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013373",
            "telephone_number": "207-941-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013337",
            "country_code": "US",
            "telephone_number": "207-922-1300",
            "fax_number": "207-217-6742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLASSE",
        "first_name": "STEPHANIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.