CONVENIENTMD LLC
NPI 1851991251
Clinic/Center - Urgent Care in Ellsworth, ME

NPI Status: Active since October 27, 2020

Contact Information

235 HIGH ST
ELLSWORTH, ME
ZIP 04605
Phone: (207) 412-5200

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 20D2204754
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 12-14-2026

About CONVENIENTMD LLC

This page provides the complete NPI Profile along with additional information for Convenientmd Llc, a provider established in Ellsworth, Maine operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1851991251 assigned on October 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jarod Boissonneault (Director Of Revenue Cycle Mgt)

NPI
1851991251
Provider Name
CONVENIENTMD LLC
Entity Type
Organization
Location Address
235 HIGH ST ELLSWORTH, ME 04605
Location Phone
(207) 412-5200
Mailing Address
111 NH AVE PORTSMOUTH, NH 03801
Mailing Phone
(603) 410-6700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2020
Last Update Date
10-27-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAROD BOISSONNEAULT

Authorized Official Title
DIRECTOR OF REVENUE CYCLE MGT
Authorized Official Phone
(603) 319-6223

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D2204754
Facility Type
Other - URGENT CARE
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
SHAMRANG KHALSA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Convenientmd Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851991251
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281011892210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 8 + 9 + 2 + 2 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1851991251 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780375220CONVENIENTMD - FFS UC LLC
Organization
Clinic/Center (Urgent Care)235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200
1114032562DR. SUSAN ANN PARLIN MD
Individual
Family Medicine235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200
1366499642MS. JANE REINOSO PA-C
Individual
Physician Assistant (Medical)235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200
1639846983 ALYSSA JOY DIVER PA-C
Individual
Physician Assistant (Medical)235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200
1912697814 CHRISTOPHER J WARD PA-C
Individual
Physician Assistant235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200
1114269909 JESSIE DALEY EKLUND FNP-C
Individual
Nurse Practitioner235 HIGH ST
ELLSWORTH, ME 04605
(207) 412-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851991251, enumerated in the NPI registry as an "organization" on October 27, 2020

The provider is located at 235 High St Ellsworth, Me 04605 and the phone number is (207) 412-5200

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 20D2204754 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 27, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.