Individual provider Active NPI

Cassandra Generlette, MD

  • Family Medicine Physician
  • Augusta, ME
National Provider Identifier
1093036261
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
EC101045 Issued in ME
Practice address
277 State St
Augusta, ME 04330-6912
Phone
(207) 358-0748
Fax
(866) 867-5515
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X EC101045 ME Primary

Addresses

Primary practice location

277 State St
Augusta, ME 04330-6912

Mailing address

277 State St
Bangor, ME 04401-5439
Phone (207) 358-0748

Other identifiers 1

IdentifierTypeStateIssuer
436245499MedicaidME

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000317 ME Order and Referring Only - Family PracticePractitioner - Family Practice 4789845314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: wellnessinc@org146.direct.charmhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1093036261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015439",
            "telephone_number": "207-358-0748",
            "fax_number": "866-867-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306912",
            "telephone_number": "207-358-0748",
            "fax_number": "866-867-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERLETTE",
        "first_name": "CASSANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC101045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436245499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.