Samantha Deveau, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Porter, ME
NPI 1003597253 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1003597253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP231410 (ME)
- Practice address
- 70 Main St
Porter, ME 04068-3527 - Phone
- (207) 625-8126
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sacopee Valley Health Center
Practice addresses (Care Compare)
70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925002900 | ME | Practitioner - Nurse Practitioner | 2466806468 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP231410 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacopee Valley Health Center | Current |
Accepting new patients | |
| Sacopee Valley Health Center | Current |
Accepting new patients |
Locations
70 Main St
Porter, ME 04068
Phone (207) 625-8126
Interoperability endpoints
- samantha.pmhnpdeveau.p1@direct.svhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP231410 | ME | Yes |
Addresses
Primary practice location
70 Main St
Porter, ME 04068-3527
Mailing address
70 Main St
Porter, ME 04068-3527
Other providers in Porter, ME
- Jacob D Akers
- Daniel Bates
- Nicole Childers
- April Marie Clark
- Donna M Dodge
- Jennifer Marie Drouin
- Kimberly Anne Dubois
- Jeri Lynn Dudics
- Catherine M Duthie
All providers in Porter, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.