Individual provider Active NPI

Judy Splittgerber, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton, ME
National Provider Identifier
1003996646
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP221529 Issued in ME
Practice address
136 Mill St
Princeton, ME 04668-3344
Phone
(207) 796-5503
NPI assigned
Oct 17, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP221529 ME Primary

Addresses

Primary practice location

136 Mill St
Princeton, ME 04668-3344

Mailing address

136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503

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
I20231120001780 ME Practitioner - Nurse Practitioner 4284930025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001047CTMDMarriage & Family Therapist
1047CTMDOptometrist
CNP221529MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Regional Family Health Center CurrentSince Nov 4, 2024 Accepting new patients
St Croix Regional Family Health Center CurrentSince Nov 4, 2024 Accepting new patients
Jlsplittgerber Aprn LLC Psychiatric/Mental Health CurrentSince Sep 10, 2023 Accepting new patients
Penobscot Community Health Center PastSince Nov 1, 2023 Accepting new patients
Penobscot Community Health Center PastSince Nov 1, 2023 Accepting new patients
Reflections of Chester, Health & Wellness Center, LLC Psychiatric/Mental Health PastSince Sep 1, 2023 Accepting new patients

Locations

5 Lowell St
Ste 4
Calais, ME 04619
Phone (207) 796-5033

136 Mill St
Princeton, ME 04668
Phone (207) 796-5033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGABA/Endpoint/BCGABA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1003996646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MILL ST",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046683344",
            "telephone_number": "207-796-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MILL ST",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046683344",
            "telephone_number": "207-796-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLITTGERBER",
        "first_name": "JUDY",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP221529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, ME

Sources for this page

Verify at the official NPI Registry.