Leona L Cerkovitz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81388 Issued in ME

Practice address

192 Park Street
Orono, ME 04473-4602

Phone

(207) 866-9025

Fax

(207) 866-2207

NPI assigned

Aug 20, 2006

Last updated

Jul 2, 2012By 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 2

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

Credentials

Nurse Practitioner

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.

• Acadia Hospital Corp

  • Psychiatric Hospital
  • Bangor, ME
  • NPI 1215940523
  Medicare reassignment NPD
• Bangor Integrative Health

  • Family Nurse Practitioner
  • Orono, ME
  • NPI 1659486884
  NPD (past) Authorized official
• Acadia Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
  • NPI 1568477297
  NPD (past)
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1073628376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK STREET",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734602",
            "telephone_number": "207-866-9025",
            "fax_number": "207-866-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK STREET",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734602",
            "telephone_number": "207-866-9025",
            "fax_number": "207-866-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERKOVITZ",
        "first_name": "LEONA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "038985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Charles Butler, PH.D.
• Elizabeth Campbell Premer, RN
• Chase Ed Cardurns, PMH-NP
• Sandra L. Caron, PH.D.
• Cole Carter
• Rebecca Bourgoin Chase, O.T.R./L
• Su-Ching Cheng, FNP
• Kristina Kehoskie Clark
• Clear Intentions LLC
• Ashley Couverette

• Family Nurse Practitioner in Orono, ME
• Providers in Orono, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.