Individual provider Active NPI

Joseph Aquilina, FNPC

  • Family Nurse Practitioner
  • Millinocket, ME
National Provider Identifier
1104835669
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP81577 Issued in ME
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

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
431940699MedicaidME

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
I20040415001043 ME Practitioner - Nurse Practitioner 1759275456 Reassigns benefits to 1 organization

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
Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

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 Home health agency, Bangor, ME, CCN 207075
  • Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307
  • Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP81577MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network, Inc. CurrentSince Dec 8, 2014 Accepting new patients
Health Access Network, Inc. CurrentSince Dec 8, 2014 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.