Individual provider Active NPI

Jamieson F Romanelli, PMHNP/MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houlton, ME
National Provider Identifier
1154936912
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP201235 Issued in ME
Practice address
59 Bangor St
Houlton, ME 04730-1740
Phone
(207) 538-3700
Fax
(207) 528-2595
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 CNP201235 ME Primary

Addresses

Primary practice location

59 Bangor St
Houlton, ME 04730-1740

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700

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
I20201030001305 ME Practitioner - Nurse Practitioner 1557771656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

180 Main Rd
Brownville, ME 04414-3107
Phone (207) 528-2285

30 Houlton St
Patten, ME 04765-3035
Phone (207) 528-2285

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 528-2285

59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CNP201235MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Aug 28, 2020 Accepting new patients
Katahdin Valley Health Center CurrentSince Aug 28, 2020 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients

Locations

33 Walker St
Ashland, ME 04732
Phone (207) 435-6341

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 523-3700

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

529 S Patten Rd
Patten, ME 04765

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

Interoperability endpoints

  • Direct secure messaging: jamieson.romanelli.1@7377.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1154936912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BANGOR ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301740",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "JAMIESON",
        "middle_name": "F",
        "credential": "PMHNP/MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP201235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.