Active NPI
Stephanye Allyson Doucette, D.O.
- Obstetrics & Gynecology Physician
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO3043
- Practice address
- 180 Kennedy Memorial Dr Ste 104
Waterville, ME 04901-4541 - Phone
- (207) 872-5529
- NPI assigned
- Jun 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO3043 | ME | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | OT017291 | PA |
Addresses
Primary practice location
180 Kennedy Memorial Dr Ste 104
Waterville, ME 04901-4541
Mailing address
180 Kennedy Memorial Dr Ste 104
Waterville, ME 04901-4541
Phone (207) 240-0476
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 77.69
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3043 | ME | MD | Obstetrics & Gynecology Physician |
| OT017291 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients |
Locations
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
50 Union St
Ste 3200
Ellsworth, ME 04605
Phone (207) 664-5650
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-5770
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Urgent Care Clinic/Center
- Lewiston, ME
- NPI 1063136786
-
- Internal Medicine Physician
- Ellsworth, ME
- NPI 1598152035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1962851741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 KENNEDY MEMORIAL DR STE 104",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014541",
"telephone_number": "207-240-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 KENNEDY MEMORIAL DR STE 104",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014541",
"telephone_number": "207-872-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "STEPHANYE",
"middle_name": "ALLYSON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-12",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "DO3043",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "OT017291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.