Waterville Pediatrics PA
NPI 1790871994 · Pediatrics Physician · Waterville, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterville Pediatrics PA is a Pediatrics Physician organization in Waterville, ME (NPI 1790871994).
Provider details
- NPI number
- 1790871994
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Stone, Treasurer(207) 873-5437
- License
- 1317 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 159 Silver StWaterville, ME 04901-5813Phone: (207) 873-5437Fax: (207) 872-6037
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Frequently asked questions
- What is Waterville Pediatrics PA's NPI number?
- Waterville Pediatrics PA's National Provider Identifier (NPI) is 1790871994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterville Pediatrics PA?
- Waterville Pediatrics PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Waterville Pediatrics PA located?
- Waterville Pediatrics PA's practice location on file with NPPES is 295c Kennedy Memorial Dr, Waterville, ME 04901-4535.
- What is Waterville Pediatrics PA's phone number?
- The practice phone number listed in the NPPES registry for Waterville Pediatrics PA is (207) 873-5437.
- Does Waterville Pediatrics PA accept Medicare?
- Waterville Pediatrics PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterville Pediatrics PA?
- The authorized official listed on Waterville Pediatrics PA's NPPES record is Jeffrey Stone, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterville Pediatrics PA's NPI active?
- Yes — Waterville Pediatrics PA's NPI (1790871994) is active in the NPPES registry as of the last update on 2021-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.