Individual provider Active NPI

Stephanye Allyson Doucette, D.O.

  • Obstetrics & Gynecology Physician
  • Waterville, ME
National Provider Identifier
1962851741
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO3043 Issued in ME
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

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201001482 ME Practitioner - Obstetrics/Gynecology 6002227733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
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

LicenseStateTypeSpecialty
DO3043MEMDObstetrics & Gynecology Physician
OT017291PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince May 1, 2021 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince May 1, 2021 Accepting new patients
Central Maine Medical Center CurrentSince Apr 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.