Individual provider Active NPI

Sheelagh Prosser, MD

  • Family Medicine Physician
  • Presque Isle, ME
National Provider Identifier
1851700371
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD14454 Issued in ME
Practice address
66 Spruce St
Presque Isle, ME 04769-3243
Phone
(207) 769-2025
Fax
(207) 764-0629
NPI assigned
Aug 8, 2014
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD14454 ME Primary

Addresses

Primary practice location

66 Spruce St
Presque Isle, ME 04769-3243

Mailing address

66 Spruce St
Presque Isle, ME 04769-3243
Phone (207) 769-2025

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141218001346 ME Practitioner - Family Practice 7719200088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

74 Access Hwy
Caribou, ME 04736-3807
Phone (207) 498-2350

PO Box
Suite 40
Caribou, ME 04736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14454MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Health Services Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Pines Health Services Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
The Aroostook Medical Center Past Accepting new patients

Locations

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

66 Spruce St
Ste 4
Presque Isle, ME 04769
Phone 20749823592023

4 Main St
Van Buren, ME 04785
Phone (207) 868-2796

Interoperability endpoints

  • Direct secure messaging: sprosser377033@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1851700371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SPRUCE ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693243",
            "telephone_number": "207-769-2025",
            "fax_number": "207-764-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SPRUCE ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693243",
            "telephone_number": "207-769-2025",
            "fax_number": "207-764-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "SHEELAGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD14454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.