Pine Tree Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PINE TREE URGENT CARE LLC

Practice address

557 Hammond St
Bangor, ME 04401-4511

Phone

(207) 239-9757

NPI assigned

Aug 19, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Wade, PA-CNPI 1073077053

Title

Owner

Phone

(207) 239-9757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Wade, PAC

  • Physician Assistant
  • Brewer, ME
  • NPI 1073077053
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle F Pickoski-Capuano, FNPC

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1326610551
  Medicare reassignment Care Compare group NPD
• Kavita Srivastava Jackson, M.D.

  • Emergency Medicine Physician
  • Silver Spring, MD
  • NPI 1497136600

  ME

  Medicare reassignment NPD
• Martha Baldwin

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterville, ME
  • NPI 1891280855
  NPD
• Jenifer Lynn Baron, LCSW

  • Clinical Social Worker
  • Sanford, ME
  • NPI 1649611971
  NPD
• Rachel Robinson Benson, LCSW

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1700281706
  NPD
• Richard D. Bissell Jr., LCSW

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1255453361
  NPD
• Bruce Bosinger, LCPC-C

  • Professional Counselor
  • Bar Harbor, ME
  • NPI 1841807823
  NPD
• Charles H Gardner Jr., LADC

  • Social Worker
  • Bangor, ME
  • NPI 1790102093
  NPD
• Greta Brooke Garvey, LCSW

  • Social Worker
  • Holden, ME
  • NPI 1871007807
  NPD
• Thadius Hannington-Berube, LCPC-C

  • Mental Health Counselor
  • Bangor, ME
  • NPI 1538749692
  NPD
• Kimberly Lynne Herz, LCSW

  • Clinical Social Worker
  • Winterport, ME
  • NPI 1841513777
  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1679450969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE AVE",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441329",
            "telephone_number": "207-239-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-239-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-239-9757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle F Pickoski-Capuano, FNPC
• Claudia R Picone, MD
• Abigail Hamel Pierce, LCSW, CADC
• Jolene Pierce, RDH, IPDH
• Pine Tree Physical Therapy, Inc.
• Pine Tree Wholistic Health
• Pinecrest Haven
• Shannon C Piner, FNP
• Pinetree Behavioral Health, LLC
• Karen Pinkham, DPT

• Urgent Care Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• Urgent Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.