Individual provider Active NPI

Brian Webster

  • Family Nurse Practitioner
  • Vinalhaven, ME
National Provider Identifier
1013266105
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012317 Issued in PA
Practice address
15 Medical Center Loop
Vinalhaven, ME 04863-4119
Phone
(207) 863-4341
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130220000023 PA Practitioner - Nurse Practitioner 1052566205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Bestpractices of Pennsylvania PC Past Accepting new patients

Locations

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012317 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

15 Medical Center Loop
Vinalhaven, ME 04863-4119

Mailing address

15 Medical Center Loop
Vinalhaven, ME 04863-4119

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2021.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1013266105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL CENTER LOOP",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048634119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL CENTER LOOP",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048634119",
            "telephone_number": "207-863-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vinalhaven, ME

Sources for this page

Verify at the official NPI Registry.