Active NPI
Lisa A Pomerleau, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ME
National Provider Identifier
1124368717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP121122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Healing & Wellness, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Pomarand Behavioral Services PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Left Bank Recovery Services | Current | Accepting new patients | |
| Health Affiliates Maine, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Auburn, ME
- NPI 1932413556
-
- Recovery Care Clinic/Center
- Lewiston, ME
- NPI 1285231753
-
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ME
- NPI 1497434294
-
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ME
- NPI 1972145019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.