Individual provider Active NPI

Bonnie Lemieux, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • South Portland, ME
National Provider Identifier
1073061321
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
816790APRN-CNP Issued in NV
Practice address
707 Sable Oaks Dr
South Portland, ME 04106-6953
Phone
(603) 883-0005
NPI assigned
Sep 15, 2016
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP161125 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 161125 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 816790APRN-CNP NV Primary

Addresses

Primary practice location

707 Sable Oaks Dr
South Portland, ME 04106-6953

Mailing address

707 Sable Oaks Dr
South Portland, ME 04106-6953
Phone (603) 883-0005

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
I20180412001217 ME Practitioner - Nurse Practitioner 8729341300 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SweetserGroup PAC ID 8325946213, 138 clinicians

Practice addresses (Care Compare)

329 Bath Rd
Brunswick, ME 04011-2673
Phone (207) 373-3177

50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161125MEMDPsychiatric/Mental Health Nurse Practitioner
816790APRN-CNPNVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince Feb 26, 2024 Accepting new patients
Community Clinical Services, Inc. CurrentSince Apr 17, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 17, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 20, 2018 Accepting new patients
Sweetser CurrentSince Oct 21, 2024 Accepting new patients
Community Clinical Services, Inc CurrentSince Apr 17, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 20, 2018 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 17, 2023 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

707 Sable Oaks Dr
Ste 230
South Portland, ME 04106
Phone (207) 387-0801

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

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

Organizations & group practices 10

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1073061321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066953",
            "telephone_number": "603-883-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066953",
            "telephone_number": "603-883-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "BONNIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP161125",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "161125",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "816790APRN-CNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.