Individual provider Active NPI

Dayna E Lincoln, CNP

  • Pediatric Nurse Practitioner
  • Hodgdon, ME
National Provider Identifier
1033754643
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP211402 Issued in ME
Practice address
1153 White Settlement Rd
Hodgdon, ME 04730-4268
Phone
(207) 694-4655
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN62539 ME
Pediatric Nurse Practitioner 363LP0200X CNP211402 ME Primary

Addresses

Primary practice location

1153 White Settlement Rd
Hodgdon, ME 04730-4268

Mailing address

1153 White Settlement Rd
Hodgdon, ME 04730-4268
Phone (207) 694-4655

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
I20211117003292 ME Practitioner - Nurse Practitioner 9931598679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN62539MEMDPediatric Registered Nurse
CNP211402MEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Grand Health Center, Inc CurrentSince Mar 20, 2024 Accepting new patients

Locations

201 Houlton Rd
Danforth, ME 04424
Phone (207) 448-2347

Interoperability endpoints

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

Organizations & group practices 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1033754643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 WHITE SETTLEMENT RD",
            "city": "HODGDON",
            "state": "ME",
            "postal_code": "047304268",
            "telephone_number": "207-694-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 WHITE SETTLEMENT RD",
            "city": "HODGDON",
            "state": "ME",
            "postal_code": "047304268",
            "telephone_number": "207-694-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "DAYNA",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "ME",
            "license": "RN62539",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "CNP211402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodgdon, ME

Sources for this page

Verify at the official NPI Registry.