Individual provider Active NPI

Allison Guerrette, FNP

  • Nurse Practitioner
  • Van Buren, ME
National Provider Identifier
1003356809
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP171066 Issued in ME
Practice address
4 Main St
Van Buren, ME 04785-1009
Phone
(207) 868-2796
NPI assigned
Feb 28, 2017
Last updated
Jun 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61438 ME
Nurse Practitioner 363L00000X CNP171066 ME Primary

Addresses

Primary practice location

4 Main St
Van Buren, ME 04785-1009

Mailing address

PO Box 40
Caribou, ME 04736-0040

Other names 1

  • Allison Charette Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828001702 ME Practitioner - Nurse Practitioner 7315219268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

10 Carter St
Eagle Lake, ME 04739-3060
Phone (207) 444-5973

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN61438MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fish River Rural Health CurrentSince Apr 4, 2022 Accepting new patients
Fish River Rural Health CurrentSince Apr 4, 2022 Accepting new patients
Pines Health Services CurrentSince Jul 1, 2017 Accepting new patients
Pines Health Services Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
Fish River Rural Health Past Accepting new patients

Locations

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

12 Bolduc Ave
Fort Kent, ME 04743
Phone (207) 834-3012

3 Mountainview Dr
Fort Kent, ME 04743
Phone (207) 834-1573

4 Main St
Van Buren, ME 04785
Phone (207) 868-2796

Interoperability endpoints

  • Direct secure messaging: allison.guerrette.1@10077.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10077/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1003356809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851009",
            "telephone_number": "207-868-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRETTE",
        "first_name": "ALLISON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN61438",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP171066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "CHARETTE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Buren, ME

Sources for this page

Verify at the official NPI Registry.