Robert W Berks, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lewiston, ME
NPI 1124177522 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1124177522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP81019 (ME)
- Practice address
- 100 Campus Ave
Suite 208
Lewiston, ME 04240 - Phone
- (207) 777-8974
- Fax
- (207) 777-8946
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Regional Medical Center
Practice addresses (Care Compare)
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420
Hospital & facility affiliations
- Concord Hospital
- Huggins Hospital
- St Mary'S Regional Medical Center
- Maine General Medical Center
- Bridgton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050727000829 | ME | Practitioner - Nurse Practitioner | 4082642483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Community Clinical Services, Inc | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Community Clinical Services, Inc. | Current |
Accepting new patients | |
| Community Clinical Services, Inc. | Current | Accepting new patients |
Locations
106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383
93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420
57 Birch St
Ste 102
Lewiston, ME 04240
Phone (207) 753-5400
100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
Interoperability endpoints
- rberks1149450@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP81019 | ME | Yes |
Addresses
Primary practice location
100 Campus Ave
Suite 208
Lewiston, ME 04240
Mailing address
PO Box 95000 LBX 7650
Philadelphia, PA 19195-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330390099 | Medicaid | ME |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rberks1149450@direct.bsmhealth.org | St. Mary's Regional Medical Center |
Other providers in Lewiston, ME
- Kate Benson
- Charles Kevin Bergeron Poulin
- Claire E. Bergeron
- Roger L. Bergeron
- Julia Frances Bergquist
- Michael Scott Berlowitz
- Kaitlyn Bernard
- Cristiana M Bertocchi
- Kristie J Berube
- Best Maine Health Care LLC
All providers in Lewiston, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.