Renate Repele-Bailey, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

087674-23 Issued in NH

Practice address

2 Independence Dr
Kennebunk, ME 04043-6078

Phone

(207) 303-3300

Fax

(207) 250-2137

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, NH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Bridge Health PLLCGroup PAC ID 3577000728, 18 clinicians

Impact Health Psych PCGroup PAC ID 6204248149, 20 clinicians

Impact Health Me, LLCGroup PAC ID 9133463490, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renate.repele-bailey.1@31616.direct.athenahealth.com

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.

• Impact Health Me, LLC

  • Nurse Practitioner
  • Yarmouth, ME
  • NPI 1518432574
  Medicare reassignment Care Compare group NPD
• Bridge Health PLLC

  • Nurse Practitioner
  • Valley Stream, NY
  • NPI 1194574285

  ME, NH

  Medicare reassignment Care Compare group NPD
• Impact Health P.C.

  • Nurse Practitioner
  • Orange, CT
  • NPI 1730694316

  NH

  Medicare reassignment Care Compare group NPD
• Impact Health Psych PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CT
  • NPI 1730781022

  ME, NH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1154914844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020911",
            "telephone_number": "207-303-3200",
            "fax_number": "207-250-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDEPENDENCE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436078",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 US Route 1 Ste I",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747145",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Topsham Fair Mall Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040861773",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Campus Dr Unit 108",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747172",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPELE-BAILEY",
        "first_name": "RENATE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP201240",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "087674-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• React Behavioral Health, LLC
• Recovery Associates Inc.
• Angela Myra Reed, CRNP
• Kathleen Susan Regan, LCSW
• Howard Stephen Reinheimer, M.D.
• Cecily H Rich, LICENSED ALCOHOL DRU
• Irene Richard, L.C.S.W.
• Susan A Richardson, O.T.R./L.
• Julia Burns Riley, PHD LCSW
• Susannah F. Ristine, EDD

• Gerontology Nurse Practitioner in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Gerontology Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.