Active NPI
Allen Lionel Martin, NP, RN
- Psychiatric/Mental Health Nurse Practitioner
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP81743
- Practice address
- 15 Mid Coast Dr
Belfast, ME 04915-6079 - Phone
- (207) 338-2295
- Fax
- (207) 338-2388
- NPI assigned
- Sep 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP81743 | ME | Primary |
| Registered Nurse | 163W00000X | RN41793 | ME |
Addresses
Primary practice location
15 Mid Coast Dr
Belfast, ME 04915-6079
Mailing address
300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2018
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Union St
Rockland, ME 04841-2739
Phone (844) 292-0111
15 Mid Coast Dr
Belfast, ME 04915-6079
Phone (844) 292-0111
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969
Hospital & facility affiliations
- Mainehealth Waldo Hospital
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN41793 | ME | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients |
Locations
15 Mid Coast Dr
Belfast, ME 04915
Phone (207) 338-2295
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
165 Lancaster St
Portland, ME 04101
Phone (207) 874-1030
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654
149 North St
Waterville, ME 04901
Phone (207) 622-1959
123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200
Interoperability endpoints
- amartin125775@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1104918796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTHBOROUGH DR",
"address_2": "SUITE 201",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066914",
"telephone_number": "207-661-2018",
"fax_number": "207-661-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MID COAST DR",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156079",
"telephone_number": "207-338-2295",
"fax_number": "207-338-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALLEN",
"middle_name": "LIONEL",
"credential": "NP, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP81743",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN41793",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.