Active NPI
Lisa M. Eno, FNP
- Family Nurse Practitioner
- Fort Kent, ME
National Provider Identifier
1003898677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP081368
- Practice address
- 197 East Main Street
Suite 101
Fort Kent, ME 04743 - Phone
- (207) 834-6784
- Fax
- (207) 834-2967
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP081368 | ME | Primary |
| Family Nurse Practitioner | 363LF0000X | R034632 | ME |
Addresses
Primary practice location
197 East Main Street
Suite 101
Fort Kent, ME 04743
Mailing address
194 East Main Street
Fort Kent, ME 04743
Phone (207) 834-6784
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999010617 | Medicaid | ME | |
| D46407 | Other | ANTHEM | |
| 266740099 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.42 of 100
- Quality
- 52.16
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 67.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP081368 | ME | MD | Family Nurse Practitioner |
| R034632 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Maine Medical Center | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Northern Maine Medical Center | Past | Accepting new patients | |
| Northern Maine Medical Center | Past | Accepting new patients | |
| Northern Maine Medical Center | Past | Accepting new patients |
Locations
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
460 Main St
Ste 104
Madawaska, ME 04756
Phone (207) 728-6359
460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300
Interoperability endpoints
- leno@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
-
- Rural Health Clinic/Center
- Fort Kent, ME
- NPI 1750443842
-
- Rural Health Clinic/Center
- Madawaska, ME
- NPI 1922087246
-
- Rural Health Clinic/Center
- Fort Kent, ME
- NPI 1962481077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1003898677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 EAST MAIN STREET",
"city": "FORT KENT",
"state": "ME",
"postal_code": "04743",
"telephone_number": "207-834-6784",
"fax_number": "207-834-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 EAST MAIN STREET",
"address_2": "SUITE 101",
"city": "FORT KENT",
"state": "ME",
"postal_code": "04743",
"telephone_number": "207-834-6784",
"fax_number": "207-834-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENO",
"first_name": "LISA",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP081368",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "R034632",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999010617",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "D46407",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266740099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Kent, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.