Individual provider Active NPI

Jeffrey Cole

  • Psychiatric/Mental Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1073997276
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP151086 Issued in ME
Practice address
302 Husson Ave
Bangor, ME 04401-3374
Phone
(207) 973-4474
Fax
(207) 947-6720
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP151086 ME Primary

Addresses

Primary practice location

302 Husson Ave
Bangor, ME 04401-3374

Mailing address

302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141

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
I20151016002080 ME Practitioner - Nurse Practitioner 0244549020 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP151086MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Mar 8, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Mar 8, 2025 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Mar 8, 2025 Accepting new patients
MRH Corp. CurrentSince Mar 8, 2025 Accepting new patients
MRH Corp. CurrentSince Mar 8, 2025 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Acadia Hospital Corp CurrentSince Mar 6, 2022 Accepting new patients
Sebasticook Valley Health CurrentSince Mar 8, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 20, 2015 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 27, 2022 Accepting new patients
The Aroostook Medical Center CurrentSince Mar 8, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Mar 8, 2025 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Mar 8, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 20, 2015 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Mar 8, 2025 Accepting new patients
The Aroostook Medical Center CurrentSince Mar 8, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 27, 2022 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Mar 8, 2025 Accepting new patients
Vna Home Health & Hospice Past Accepting new patients

Locations

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

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

302 Husson Ave
Bangor, ME 04401
Phone (207) 941-2373

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

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

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1073997276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HUSSON AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013374",
            "telephone_number": "207-947-6141",
            "fax_number": "207-947-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HUSSON AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013374",
            "telephone_number": "207-973-4474",
            "fax_number": "207-947-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP151086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.