Alexa M Taylor, NP
Individual provider Active NPI Family Nurse Practitioner · Old Town, ME
NPI 1033937362 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1033937362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP241601 (ME)
- Practice address
- 242 Brunswick St
Old Town, ME 04468-1613 - Phone
- (207) 404-8100
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penobscot Community Health Center
Practice addresses (Care Compare)
242 Brunswick St
Old Town, ME 04468-1613
Phone (207) 827-6128
Hospital & facility affiliations
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Penobscot Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202001068 | ME | Practitioner - Nurse Practitioner | 3971038829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP241601 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | Current |
Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current |
Accepting new patients |
Locations
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
1012 Union St
Bangor, ME 04401
Phone (207) 404-8200
242 Brunswick St
Old Town, ME 04468
Phone (207) 827-6128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP241601 | ME | Yes |
Addresses
Primary practice location
242 Brunswick St
Old Town, ME 04468-1613
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other providers in Old Town, ME
- Amanda Sotirelis
- Jessica M Speed
- Amy St. Peter
- Sarah M Stewart
- Jenny Stlouis
- Kate G Thibodeaux
- Malcolm Wilson Thompson
- Katey Ann Torrey
- Alex Anthony Tsomides
- Johannes Dawid Van Der Merwe
All providers in Old Town, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.