Mount Desert Island Hospital
Organization Active NPI Critical Access Hospital · Bar Harbor, ME
NPI 1790764512 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1790764512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 013188 (ME)
- Legal business name
- MOUNT DESERT ISLAND HOSPITAL
- Practice address
- 10 Wayman LN
Bar Harbor, ME 04609-1625 - Phone
- (207) 288-5081
- Fax
- (207) 288-8620
- NPI assigned
- Jan 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer Abbott, RHIT
- Title
- Medical Staff Support
- Phone
- (207) 288-5082
Owners & managing parties with NPI records 11
-
Philip L. Brooks, MD
-
Stuart L Davidson, M.D.
-
Keith W Fleming, MD
-
Tanya Hanke, DO
-
Peter J Ossanna, MD
-
Peter H Witham, MD
-
Scott Dennis Dufresne, M.D.
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Practitioners 149
-
Mark O Brown, MD
-
William Cash Byer, CRNA
-
Linda T. Crowell, NP
-
Stuart L Davidson, M.D.
-
Angela Delvecchio, FNP
-
Joseph Ward Dougherty, M.D.
-
Keith W Fleming, MD
-
Katherine Gassman, D.O.
-
Tanya Hanke, DO
-
Casey S Hanson, MD
-
Bettina Irmgart Herrick, APRN, CNP
-
Mark A Kandutsch, M.D.
-
Jaime Kline, MD
-
Alexander Kulczycki, M.D.
-
David P Lavoie, MD
-
Katherine L Lawson, FNP
-
Daniel Enrique Lomelin, MD, MPH
-
Billy Wade Mahaney, M.D.
Affiliated clinicians 113
-
Jessica G Aronowitz, M.D.
-
Lynne Marie Assaf, MSW
-
Clarke William Baxter, M.D.
-
Bruce Bosinger, LCPC-C
-
Philip L. Brooks, MD
-
Thomas H Bugbee, MD
-
Thomas Paul Burian, PA-C
-
William Cash Byer, CRNA
-
Linda T. Crowell, NP
-
Stuart L Davidson, M.D.
-
Angela Delvecchio, FNP
-
Joseph Ward Dougherty, M.D.
-
Jolene R Driver, PAC
-
Kara Dwight, DO
-
Keith W Fleming, MD
-
Sarah E Folsom, PAC
Medicare Care Compare: Hospital
- Listed as
- Mount Desert Island Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ME
Hospital certification: CCN 201304
- Legal name
- MOUNT DESERT ISLAND HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 3, 2000
- Last certification
- Jun 6, 2019
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 25, 1987 in ME
- Enrollment address
- 10 Wayman LN
Bar Harbor, ME 46091625
Hospital certification: CCN 20Z304
- Legal name
- MOUNT DESERT ISLAND HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 25, 1997 in ME
- Enrollment address
- 10 Wayman LN
Bar Harbor, ME 46091625
All disclosed owners & managing parties 32
| Name | Role | Since | Share |
|---|---|---|---|
| Edward J Benz |
Corporate Director | Aug 1, 2017 | |
| Louise C Soucy |
Corporate Director | Aug 1, 2019 | |
| Julian P Kuffler |
Corporate Director | Aug 31, 2012 | |
| Vincent C Messer |
Corporate Officer | Aug 31, 2010 | |
| Corporate Director | Aug 4, 2021 | ||
| Corporate Director | Aug 31, 2010 | ||
| Morgan L Parady |
W-2 Managing Employee |
Jan 25, 2018 | |
| Martha T Wagner |
Corporate Officer | Sep 13, 2023 | |
| Corporate Director | Aug 31, 2015 | ||
| Arthur Martinez |
Corporate Director |
Jan 25, 2023 | |
| Teresa J Wagner |
Corporate Director |
Aug 28, 2025 | |
| Noelle Wolf |
Corporate Director | Aug 31, 2010 | |
| Michelle L Smith |
W-2 Managing Employee |
Aug 1, 2021 | |
| Edward Samek |
Corporate Director |
Aug 1, 2021 | |
| Madeleine J Braun |
Corporate Director | Aug 4, 2020 | |
| Corporate Director |
Aug 1, 2017 | ||
| Kathryn J Lucchesi |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| Jennifer Abbott |
W-2 Managing Employee |
Dec 6, 2004 | |
| W-2 Managing Employee |
Dec 6, 2004 | ||
| Dean S Read |
Corporate Director | Nov 19, 2007 | |
| Corporate Director | Aug 31, 2001 | ||
| Sarah E Fina |
Corporate Director | Aug 31, 2015 | |
| Joseph O Jacobson |
Corporate Director |
Jan 31, 2025 | |
| Elspeth M Flemings |
Corporate Director | Aug 31, 2009 | |
| Patricia H Hand |
Corporate Director | Aug 31, 2009 | |
| Christina Jenee Maguire |
Corporate Officer |
Dec 31, 2020 | |
| W-2 Managing Employee |
Dec 31, 2020 | 100% | |
| Corporate Officer | Aug 22, 2011 | ||
| W-2 Managing Employee |
Dec 31, 2021 | ||
| Operational/Managerial Control |
Dec 31, 2021 | 100% | |
| Peter J Ossanna |
W-2 Managing Employee |
Sep 1, 2018 | |
| Peter H Witham |
W-2 Managing Employee |
Jul 1, 2023 | |
| Tanya Hanke |
W-2 Managing Employee |
Jan 1, 2015 | |
| Dana Fadley |
W-2 Managing Employee |
Apr 30, 2019 | |
| Stuart L. Davidson |
W-2 Managing Employee |
Jun 6, 2017 | |
| Damian M Flowers |
W-2 Managing Employee |
May 1, 2023 | |
| Keith W Fleming |
Contracted Managing Employee |
Apr 26, 2023 | |
| Scott D Dufresne |
Contracted Managing Employee |
Sep 30, 2017 | |
| Philip L Brooks |
Contracted Managing Employee |
Aug 29, 2011 | |
| David B Welsh |
W-2 Managing Employee |
Oct 12, 2025 | |
| Rebekah Joy Villarreal |
W-2 Managing Employee |
Mar 1, 2020 | |
| Gabriel Johnson Plourde |
W-2 Managing Employee |
Jan 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050127000611 | ME | Part B Supplier - Clinic/Group Practice | 0941250963 |
Receives reassigned benefits from 106 practitioners 1 other NPI on this enrollment Practice locations: Bar Harbor, ME; Trenton, ME; Swans Island, ME; Southwest Harbor, ME; Northeast Harbor, ME |
| O20050718000781 | ME | Part a Provider - Critical Access Hospital | 0941250963 |
Receives reassigned benefits from 95 practitioners 1 other NPI on this enrollment Practice locations: Trenton, ME; Swan'S Island, ME; Southwest Harbor, ME; Northeast Harbor, ME; Bar Harbor, ME |
| O20210622000796 | ME | Part a Provider - Critical Access Hospital | 0941250963 | Practice locations: Bar Harbor, ME |
National Provider Directory
Locations
322 Main St
Fl 2
Bar Harbor, ME 04609
330 Main St
Bar Harbor, ME 04609
Phone (207) 288-8100
9 Hancock St
Bar Harbor, ME 04609
Phone (207) 288-5606
8 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-8100
17 Hancock St
Bar Harbor, ME 04609
Phone (207) 288-5024
10 Wayman Ln
Fl 2
Bar Harbor, ME 04609
10 Wayman Ln
Fl 1
Bar Harbor, ME 04609
322 Main St
Fl 3
Bar Harbor, ME 04609
Phone (207) 288-8604
16 Community Ln
Southwest Harbor, ME 04679
Phone (207) 244-5630
394 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Pain Clinic/Center | 261QP3300X | |||
| Mammography Clinic/Center | 261QR0206X | |||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | 013188 | ME | Yes |
Addresses
Primary practice location
10 Wayman LN
Bar Harbor, ME 04609-1625
Mailing address
PO Box 8
Bar Harbor, ME 04609-0008
Phone (207) 288-5081
Other practice location 1
10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-0242
Other practice location 2
9 Kimball Rd
Northeast Harbor, ME 04662-0000
Phone (207) 276-3331
Other practice location 3
235 Minturn Rd
Swan's Island, ME 04685
Phone (207) 526-4264
Other practice location 4
394 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899
Other practice location 5
17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 244-5024
Other practice location 6
16 Community Ln
Southwest Harbor, ME 04679-4273
Phone (207) 244-5630
Other practice location 7
394 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-5899
Other practice location 8
322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-5119
Other practice location 9
17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 801-5300
Other practice location 10
322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-8604
Other practice location 11
330 Main St
Bar Harbor, ME 04609-1636
Phone (207) 288-8100
Other practice location 12
322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-5081 ext. 1354
Other providers in Bar Harbor, ME
- Tara McKernan
- David B McQuade
- Mdi Dental Arts, P.C.
- Robert P Miller
- Abdolghader Molavi
- Mount Desert Island Regional School Distrct
- Mount Desert Island YMCA
- Movement Med, LLC
- Katherine Mroz
- Gordon D Murphy III
All providers in Bar Harbor, ME · Critical Access Hospital in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.