Individual provider Active NPI

Bethany Marie Poirier, NP

  • Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1700599305
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP221646 Issued in ME
Practice address
33 Roger St
Lewiston, ME 04240-3328
Phone
(207) 784-0108
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP221646 ME Primary

Addresses

Primary practice location

33 Roger St
Lewiston, ME 04240-3328

Mailing address

20 Blackberry HL
West Gardiner, ME 04345-2454

Other names 1

  • Bethany Tyburski Former name

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
I20230222000245 ME Practitioner - Nurse Practitioner 6901279991 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP221646MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Alignmed Partners, PC CurrentSince Apr 13, 2025 Accepting new patients
Alignmed Medical Group, PC CurrentSince Apr 13, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 13, 2025 Accepting new patients
Nes Medical Services of New England Inc CurrentSince Dec 13, 2022 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 13, 2025 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

2717 Hammonds Ferry Rd
Halethorpe, MD 21227
Phone (410) 242-5012

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573

3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

149 North St
Waterville, ME 04901
Phone (207) 622-1959

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

Organizations & group practices 8

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1700599305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BLACKBERRY HL",
            "city": "WEST GARDINER",
            "state": "ME",
            "postal_code": "043452454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP221646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "TYBURSKI",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.