Active NPI
Elsa Marie Heros, CNM
- Advanced Practice Midwife
- Lewiston, ME
National Provider Identifier
1184735458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM82030
- Practice address
- 330 Sabattus Street
Lewiston, ME 04240 - Phone
- (207) 777-4300
- Fax
- (207) 755-3021
- NPI assigned
- Aug 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | CNM82030 | ME | |
| Advanced Practice Midwife | 367A00000X | CNM82030 | ME | Primary |
Addresses
Primary practice location
330 Sabattus Street
Lewiston, ME 04240
Mailing address
PO Box 1638
Albany, NY 12201-1638
Phone (207) 777-4111
Other names 1
- Elsa H Levy
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM82030 | ME | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
195 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6920
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1184735458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1638",
"city": "ALBANY",
"state": "NY",
"postal_code": "122011638",
"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": "330 SABATTUS STREET",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-777-4300",
"fax_number": "207-755-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROS",
"first_name": "ELSA",
"middle_name": "MARIE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "ME",
"license": "CNM82030",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ME",
"license": "CNM82030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELSA",
"last_name": "LEVY",
"middle_name": "H",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 3, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.