Individual provider Active NPI

Lisa A Pomerleau, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1124368717
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP121122 Issued in ME
Practice address
217 Main St Ste 201
Lewiston, ME 04240-8193
Phone
(207) 782-4400
Fax
(207) 782-4800
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP121122 ME Primary

Addresses

Primary practice location

217 Main St Ste 201
Lewiston, ME 04240-8193

Mailing address

PO Box 10187
Albany, NY 12201-5187
Phone (207) 777-4111

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
I20130507000211 ME Practitioner - Nurse Practitioner 4981841152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Healing & Wellness, LLC Psychiatric/Mental Health CurrentSince Jul 23, 2023 Accepting new patients
Pomarand Behavioral Services PA Psychiatric/Mental Health CurrentSince May 14, 2023 Accepting new patients
Left Bank Recovery Services CurrentSince Feb 5, 2025 Accepting new patients
Health Affiliates Maine, LLC CurrentSince May 22, 2018 Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

217 Main St
Ste 201
Lewiston, ME 04240
Phone (207) 782-4400

37 Park St
Ste 303
Lewiston, ME 04240
Phone (207) 777-1046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1124368717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10187",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122015187",
            "telephone_number": "207-777-4111",
            "fax_number": "207-783-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042408193",
            "telephone_number": "207-782-4400",
            "fax_number": "207-782-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP121122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.