Active NPI
Joseph Aquilina, FNPC
- Family Nurse Practitioner
- Millinocket, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81577
- Practice address
- 200 Somerset St
Suite 2
Millinocket, ME 04462-1258 - Phone
- (207) 794-6700
- Fax
- (207) 794-6777
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81577 | ME | Primary |
Addresses
Primary practice location
200 Somerset St
Suite 2
Millinocket, ME 04462-1258
Mailing address
PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700
Other practice location 1
775 N Main St
Winterport, ME 04496-3414
Phone (207) 223-0965
Other practice location 2
376 Main St
Jackman, ME 04945-5214
Phone (207) 668-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431940699 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 W Broadway
Lincoln, ME 04457-4000
Phone (207) 794-6700
1930 Medway Rd
Medway, ME 04460-3166
Phone (207) 794-6700
PO Box
Lincoln, ME 04457
Hospital & facility affiliations
- Amedisys Home Health
- Millinocket Regional Hospital
- Penobscot Valley Hospital
- Northern Light Eastern Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81577 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Access Network, Inc. | Current | Accepting new patients | |
| Health Access Network, Inc. | Current | Accepting new patients | |
| Health Access Network, Inc | Current | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Sunbury Primary Care, P.a. | Family | Past | Accepting new patients |
| Grossmont Emergency Medical Group | Past | Accepting new patients | |
| Independent Medical Associates, PA | Past | Accepting new patients |
Locations
1930 Medway Rd
Medway, ME 04460
200 Somerset St
Ste 2
Millinocket, ME 04462
Phone (207) 723-5173
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBFIBD
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Lincoln, ME
- NPI 1467468215
-
- Federally Qualified Health Center (FQHC)
- Lincoln, ME
- NPI 1295993616
-
- Federally Qualified Health Center (FQHC)
- Millinocket, ME
- NPI 1760640189
-
- Family Medicine Physician
- Bangor, ME
- NPI 1013023027
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
-
- Family Medicine Physician
- Bangor, ME
- NPI 1437242294
-
- Emergency Medicine Physician
- La Mesa, CA
- NPI 1861437501
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1316171796
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1265443196
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1275646150
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1104835669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044570099",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"address_2": "SUITE 2",
"city": "MILLINOCKET",
"state": "ME",
"postal_code": "044621258",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
}
],
"practiceLocations": [
{
"address_1": "775 N Main St",
"address_purpose": "LOCATION",
"city": "Winterport",
"state": "ME",
"postal_code": "044963414",
"country_code": "US",
"telephone_number": "207-223-0965",
"fax_number": "207-223-0975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "376 Main St",
"address_purpose": "LOCATION",
"city": "Jackman",
"state": "ME",
"postal_code": "049455214",
"country_code": "US",
"telephone_number": "207-668-7755",
"fax_number": "207-668-7605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AQUILINA",
"first_name": "JOSEPH",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431940699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millinocket, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.