Individual provider Active NPI

Michelle Evangeline Breton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1023887205
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP231527 Issued in ME
Practice address
325D Kennedy Memorial Dr Ste 1
Waterville, ME 04901-4530
Phone
(207) 204-3671
NPI assigned
Dec 28, 2023
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 CNP231527 ME Primary

Addresses

Primary practice location

325D Kennedy Memorial Dr Ste 1
Waterville, ME 04901-4530

Mailing address

325D Kennedy Memorial Dr Ste 1
Waterville, ME 04901-4530
Phone (207) 465-5815

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
I20240322004166 ME Practitioner - Nurse Practitioner 9133566318 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Recovery Partners LLC Current Accepting new patients
Anglez Behavioral Health Services PA CurrentSince Mar 1, 2024 Accepting new patients
Healing Path Holistic Psychiatry Psychiatric/Mental Health Current Accepting new patients
Discovery House of Central Maine, Inc. Past Accepting new patients

Locations

841 Riverside Dr
Augusta, ME 04330
Phone (844) 294-5306

325D Kennedy Memorial Dr
Ste 1
Waterville, ME 04901
Phone (207) 204-3671

Organizations & group practices 4

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": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1023887205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR STE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-465-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR STE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-204-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETON",
        "first_name": "MICHELLE",
        "middle_name": "EVANGELINE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.