Gwen C Duffield, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP141018 Issued in ME

Practice address

11 Back Rd
Pleasant Point, ME 04667-4119

Phone

(207) 853-0644

NPI assigned

Jul 29, 2014

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Passamaquoddy Tribal Council

  dba Pleasant Point Health Center

  • Federally Qualified Health Center (FQHC)
  • Pleasant Point, ME
  • NPI 1760474613
  Medicare reassignment NPD
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Medicare reassignment NPD
• Constance W Jordan Anp Pmhnp PLLC

  • Clinic/Center
  • Cape Elizabeth, ME
  • NPI 1770365272
  NPD
• Seacoast Pathology Inc

  • Clinical Medical Laboratory
  • Exeter, NH
  • NPI 1154651230
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1033527411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK RD",
            "city": "PLEASANT POINT",
            "state": "ME",
            "postal_code": "046674119",
            "telephone_number": "207-853-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "GWEN",
        "middle_name": "C",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP141018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Burggraff, PHD
• Donald Calebaugh, MD
• Mary Jo Miles Calebaugh, MD
• Amanda Jean Craig, R.PH.
• Cecilia Dias, DDS
• Eunice E Francis, LCPC-C
• Frances Frey, MASSAGE THERAPIST
• Victoria Ganz, ACNP-BC
• Ann Margaret Golston, MSP, CCC-SLP
• Denise Elaine Harris, RD

• Psychiatric/Mental Health Nurse Practitioner in Pleasant Point, ME
• Providers in Pleasant Point, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.