Individual provider Active NPI

Allen Lionel Martin, NP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Belfast, ME
National Provider Identifier
1104918796
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP81743 Issued in ME
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

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000480 ME Practitioner - Nurse Practitioner 3375550544 Reassigns benefits to 2 organizations

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
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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 Hospital, Belfast, ME, CCN 201312
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
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

LicenseStateTypeSpecialty
RN41793MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 26, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Aug 13, 2016 Accepting new patients
Mainehealth CurrentSince Feb 26, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.