Individual provider Active NPI

Dorathy E Moneke, FNP

  • Family Nurse Practitioner
  • Hartland, ME
National Provider Identifier
1013480144
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP181286 Issued in ME
Practice address
10 Great Moose Dr
Hartland, ME 04943-3022
Phone
(207) 270-4060
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP181286 ME Primary

Addresses

Primary practice location

10 Great Moose Dr
Hartland, ME 04943-3022

Mailing address

10 Great Moose Dr
Hartland, ME 04943-3022
Phone (207) 270-4060

Other practice location 1

145 Rolling Meadow Dr
Bangor, ME 04401-5791
Phone (207) 735-8210

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
I20190225000961 ME Practitioner - Nurse Practitioner 4183963895 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP181286MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Current Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 6, 2023 Accepting new patients
Family Circles Healthcare LLC CurrentSince Jan 21, 2022 Accepting new patients
Rumford Hospital CurrentSince Dec 11, 2023 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Rumford Hospital CurrentSince Dec 11, 2023 Accepting new patients
Signify Health, LLC CurrentSince Oct 8, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 6, 2023 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Dec 11, 2023 Accepting new patients

Locations

5 Central Maine Xing
Gardiner, ME 04345
Phone (207) 582-6608

10 Great Moose Dr
Hartland, ME 04943
Phone (207) 270-4060

6 City Ctr
Portland, ME 04101

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14039/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1013480144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREAT MOOSE DR",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049433022",
            "telephone_number": "207-270-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREAT MOOSE DR",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049433022",
            "telephone_number": "207-270-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Rolling Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015791",
            "country_code": "US",
            "telephone_number": "207-735-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONEKE",
        "first_name": "DORATHY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, ME

Sources for this page

Verify at the official NPI Registry.