Individual provider Active NPI

Claire F Mortimer, FNP, MSN

  • Nurse Practitioner
  • Blue Hill, ME
National Provider Identifier
1013155779
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP91003 Issued in ME
Practice address
6 East Blue Hill Rd.
Blue Hill, ME 04614-6408
Phone
(207) 479-7428
Fax
(877) 801-7493
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

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
I20160525002091 ME Order and Referring Only - Nurse Practitioner 5597821751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP91003 ME Primary

Addresses

Primary practice location

6 East Blue Hill Rd.
Blue Hill, ME 04614-6408

Mailing address

PO Box 184
Brooklin, ME 04616-0184
Phone (207) 479-7428

Other names 1

  • Claire F Mortimer-Maibeth Former name

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1013155779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "BROOKLIN",
            "state": "ME",
            "postal_code": "046160184",
            "telephone_number": "207-479-7428",
            "fax_number": "877-801-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EAST BLUE HILL RD.",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146408",
            "telephone_number": "207-479-7428",
            "fax_number": "877-801-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "CLAIRE",
        "middle_name": "F",
        "credential": "FNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP91003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "MORTIMER-MAIBETH",
            "middle_name": "F",
            "credential": "FNP-BC, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Hill, ME

Sources for this page

Verify at the official NPI Registry.