Audrey Micallef, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

76 High St
Lewiston, ME 04240-7649

Phone

(207) 795-2800

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

No

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.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487

  ME

  Medicare reassignment Care Compare group NPD
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1861433765
  Care Compare group NPD (past)
• Central Maine Medical Center

  • Rehabilitation Hospital Unit
  • Lewiston, ME
  • NPI 1073651576
  Care Compare group
• Rumford Community Family Health Center, Inc.

  • Rural Health Clinic/Center
  • Rumford, ME
  • NPI 1578599775
  Care Compare group
• Rumford Community Family Health Center, Inc.

  • Rural Health Clinic/Center
  • Dixfield, ME
  • NPI 1902841083
  Care Compare group
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD

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

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rumford Community Family Health Center Inc. 35 clinicians

Central Maine Medical Center 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

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: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2025.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1205680253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "South Shore University Hospital-Obstetrics and Gynecolo",
            "address_2": "301 E. Main Street",
            "address_purpose": "LOCATION",
            "city": "Bayshore",
            "state": "NY",
            "postal_code": "11706",
            "country_code": "US",
            "telephone_number": "631-894-5934",
            "fax_number": "631-968-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICALLEF",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Merrill, LSW
• Chad Daniel Merrill, AG-ACNP
• Merrimack River Medical Services, Inc.
• Adam R. Messier, PA-C
• Elizabeth Mary Meyer, LCPC
• Alexa Michaud, PHARMD
• Jeffrey S. Michaud, DO
• Micro Direct, Inc.
• Kristin M Milberger, CRNA
• Elizabeth Ann Miles, LCSW

• All providers in Lewiston, ME
• Student in an Organized Health Care Education/Training Program in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.