NPIMap

Organization Active NPI

Mount Desert Island Hospital

  • Critical Access Hospital
  • Bar Harbor, ME
National Provider Identifier
1790764512
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
013188 Issued in 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
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mrs. Jennifer Abbott, RHIT
Title
Medical Staff Support
Phone
(207) 288-5082

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
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 Primary
Community/Behavioral Health Agency 251S00000X

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

394 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899

Other practice location 2

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-0242

Other practice location 3

9 Kimball Rd
Northeast Harbor, ME 04662-0000
Phone (207) 276-3331

Other practice location 4

17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 244-5024

Other practice location 5

235 Minturn Rd
Swan's Island, ME 04685
Phone (207) 526-4264

Other practice location 6

322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-5119

Other practice location 7

17 Hancock St
Bar Harbor, ME 04609-1714
Phone (207) 801-5300

Other practice location 8

322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-8604

Other practice location 9

330 Main St
Bar Harbor, ME 04609-1636
Phone (207) 288-8100

Other practice location 10

322 Main St
Bar Harbor, ME 04609-1648
Phone (207) 288-5081 ext. 1354

Other practice location 11

394 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-5899

Other practice location 12

16 Community Ln
Southwest Harbor, ME 04679-4273
Phone (207) 244-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1790764512. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Sep 25, 1987 in ME
Enrollment address
10 Wayman LN
Bar Harbor, ME 46091625
Other Hospital Practice Location

Hospital certification: CCN 20Z304

Legal name
MOUNT DESERT ISLAND HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 25, 1997 in ME
Enrollment address
10 Wayman LN
Bar Harbor, ME 46091625
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mount Desert Island HospitalCCN 201304 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

10 Wayman Ln
Fl 1
Bar Harbor, ME 04609

10 Wayman Ln
Fl 2
Bar Harbor, ME 04609

322 Main St
Fl 2
Bar Harbor, ME 04609

322 Main St
Fl 3
Bar Harbor, ME 04609
Phone (207) 288-8604

330 Main St
Bar Harbor, ME 04609
Phone (207) 288-8100

8 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-8100

9 Hancock St
Bar Harbor, ME 04609
Phone (207) 288-5606

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward J Benz Individual Corporate Director Aug 1, 2017
Louise C Soucy Individual Corporate Director Aug 1, 2019
Julian P Kuffler Individual Corporate Director Aug 31, 2012
Vincent C Messer Individual Corporate Officer Aug 31, 2010
Corporate Director Aug 4, 2021
Corporate Director Aug 31, 2010
Morgan L Parady Individual W-2 Managing EmployeeBoard Secretary / Officer Jan 25, 2018
Martha T Wagner Individual Corporate Officer Sep 13, 2023
Corporate Director Aug 31, 2015
Arthur Martinez Individual Corporate DirectorBoard Member Jan 25, 2023
Teresa J Wagner Individual Corporate DirectorEx-Officio Board Member Aug 28, 2025
Noelle Wolf Individual Corporate Director Aug 31, 2010
Michelle L Smith Individual W-2 Managing EmployeeChief Financial Officer Aug 1, 2021
Edward Samek Individual Corporate DirectorBoard Member Aug 1, 2021
Madeleine J Braun Individual Corporate Director Aug 4, 2020
Corporate DirectorBoard Member Aug 1, 2017
Kathryn J Lucchesi Individual Corporate OfficerBoard Member Jan 1, 2023
Corporate DirectorBoard Member Jan 1, 2023
Jennifer Abbott Individual W-2 Managing EmployeeMedical Staff Support Manager Dec 6, 2004
W-2 Managing EmployeeManager Or Medical Staff Support Dec 6, 2004
Dean S Read Individual Corporate Director Nov 19, 2007
Corporate Director Aug 31, 2001
Sarah E Fina Individual Corporate Director Aug 31, 2015
Joseph O Jacobson Individual Corporate DirectorBoard Trustee Jan 31, 2025
Elspeth M Flemings Individual Corporate Director Aug 31, 2009
Patricia H Hand Individual Corporate Director Aug 31, 2009
Christina Jenee Maguire Individual Corporate OfficerPresident/Ceo Dec 31, 2020
W-2 Managing EmployeePresident/Ceo Dec 31, 2020 100%
Corporate Officer Aug 22, 2011
W-2 Managing EmployeeAd; Dec 31, 2021
Operational/Managerial ControlPresident / Ceo Dec 31, 2021 100%
Peter J Ossanna Individual W-2 Managing EmployeeMD; Sep 1, 2018
Peter H Witham Individual W-2 Managing EmployeeMD; Jul 1, 2023
Tanya Hanke Individual W-2 Managing EmployeeMD; Jan 1, 2015
Dana Fadley Individual W-2 Managing EmployeeAd;Executive VP Apr 30, 2019
Stuart L. Davidson Individual W-2 Managing EmployeeMD;Chief Medical Officer Jun 6, 2017
Damian M Flowers Individual W-2 Managing EmployeeMD; May 1, 2023
Keith W Fleming Individual Contracted Managing EmployeeMD; Apr 26, 2023
Scott D Dufresne Individual Contracted Managing EmployeeMD; Sep 30, 2017
Philip L Brooks Individual Contracted Managing EmployeeMD; Aug 29, 2011
David B Welsh Individual W-2 Managing EmployeeMD; Oct 12, 2025
Rebekah Joy Villarreal Individual W-2 Managing EmployeeMD; Mar 1, 2020
Gabriel Johnson Plourde Individual W-2 Managing EmployeeMD; Jan 1, 2026

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 149

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.

View all 149

Affiliated clinicians 113

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1790764512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046090008",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 Bar Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "ME",
            "postal_code": "04605",
            "country_code": "US",
            "telephone_number": "207-667-5899",
            "fax_number": "207-801-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "207-288-0242",
            "fax_number": "207-288-9450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 KIMBALL RD",
            "address_purpose": "LOCATION",
            "city": "NORTHEAST HARBOR",
            "state": "ME",
            "postal_code": "046620000",
            "country_code": "US",
            "telephone_number": "207-276-3331",
            "fax_number": "207-801-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091714",
            "country_code": "US",
            "telephone_number": "207-244-5024",
            "fax_number": "207-288-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Minturn Rd",
            "address_purpose": "LOCATION",
            "city": "Swan's Island",
            "state": "ME",
            "postal_code": "04685",
            "country_code": "US",
            "telephone_number": "207-526-4264",
            "fax_number": "207-526-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091648",
            "country_code": "US",
            "telephone_number": "207-288-5119",
            "fax_number": "207-288-8427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091714",
            "country_code": "US",
            "telephone_number": "207-801-5300",
            "fax_number": "207-801-5122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091648",
            "country_code": "US",
            "telephone_number": "207-288-8604",
            "fax_number": "207-288-8602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Main St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091636",
            "country_code": "US",
            "telephone_number": "207-288-8100",
            "fax_number": "207-801-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091648",
            "country_code": "US",
            "telephone_number": "207-288-5081 x1354",
            "fax_number": "207-288-7021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Bar Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "ME",
            "postal_code": "046055807",
            "country_code": "US",
            "telephone_number": "207-667-5899",
            "fax_number": "207-801-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Community Ln",
            "address_purpose": "LOCATION",
            "city": "Southwest Harbor",
            "state": "ME",
            "postal_code": "046794273",
            "country_code": "US",
            "telephone_number": "207-244-5630",
            "fax_number": "207-801-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNT DESERT ISLAND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEDICAL STAFF SUPPORT",
        "authorized_official_telephone_number": "207-288-5082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ME",
            "license": "013188",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.