Active NPI
Jamieson F Romanelli, PMHNP/MSN
- Psychiatric/Mental Health Nurse Practitioner
- Houlton, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP201235
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP201235 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
-
- Federally Qualified Health Center (FQHC)
- Patten, ME
- NPI 1669450524
-
- Community/Retail Pharmacy
- Brownville, ME
- NPI 1699479311
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.