LUANNA L BEAUCHAMP (M.D.) – Maternal & Fetal Medicine Physician, NPI 1740224286
Maternal & Fetal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
214 OBSTETRICS/GYNECOLOGY in ME
Provider Addresses for LUANNA L BEAUCHAMP (M.D.)
2180 Essex St
Bangor, ME 044012115
Phone: (207) 356-2342
Type: Location
2180, Essex Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044012115
Phone: (207) 356-2342
Type: Mailing
6119 MIDTOWN AVE
LITTLE ROCK, AR 722055313
Phone: (501) 296-1800
Fax: (501) 296-1711
Type: Location
1804 W HULL ST
DENISON, TX 750205333
Phone: (207) 356-2342
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151106000277 | I | Obstetrics/Gynecology | TX | TBD |
| I20211221002066 | I | Obstetrics/Gynecology | IN | TBD |
| I20230808000343 | I | Obstetrics/Gynecology | AK | TBD |
| I20250224002122 | I | Obstetrics/Gynecology | AL | TBD |
| I20260226003683 | I | Obstetrics/Gynecology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | KY | |
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Nurse Practitioner | IN | |
| - | IN | |
| Otolaryngology, Pediatric Medicine | IN |
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