Individual provider Active NPI

Mary Beth Louise Newman, FNP

  • Nurse Practitioner
  • East Machias, ME
National Provider Identifier
1114532371
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP201261 Issued in ME
Practice address
893 Main St
East Machias, ME 04630-4051
Phone
(207) 255-0102
Fax
(207) 255-4645
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP201261 ME Primary

Addresses

Primary practice location

893 Main St
East Machias, ME 04630-4051

Mailing address

43 S Lubec Rd
Lubec, ME 04652-3620
Phone (207) 733-5541

Other practice location 1

43 S Lubec Rd
Lubec, ME 04652-3620
Phone (207) 733-5541

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
I20201229000046 ME Practitioner - Nurse Practitioner 5395157952 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Center at Lubec Inc CurrentSince Sep 24, 2020 Accepting new patients
Regional Medical Center at Lubec CurrentSince Sep 24, 2020 Accepting new patients
Regional Medical Center at Lubec PastSince Sep 20, 2020 Accepting new patients

Locations

893 Main St
East Machias, ME 04630
Phone (207) 255-0102

43 S Lubec Rd
Lubec, ME 04652
Phone (207) 733-1090

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1114532371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S LUBEC RD",
            "city": "LUBEC",
            "state": "ME",
            "postal_code": "046523620",
            "telephone_number": "207-733-5541",
            "fax_number": "207-733-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "city": "EAST MACHIAS",
            "state": "ME",
            "postal_code": "046304051",
            "telephone_number": "207-255-0102",
            "fax_number": "207-255-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 S Lubec Rd",
            "address_purpose": "LOCATION",
            "city": "Lubec",
            "state": "ME",
            "postal_code": "046523620",
            "country_code": "US",
            "telephone_number": "207-733-5541",
            "fax_number": "207-733-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MARY BETH",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP201261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Machias, ME

Sources for this page

Verify at the official NPI Registry.