Individual provider Active NPI

Corinne Cannon Fisher, FNP

  • Pediatric Nurse Practitioner
  • Presque Isle, ME
National Provider Identifier
1215713482
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP231431 Issued in ME
Practice address
23 North St
Presque Isle, ME 04769-2291
Phone
(860) 373-4971
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X CNP231431 ME Primary

Addresses

Primary practice location

23 North St
Presque Isle, ME 04769-2291

Mailing address

111 Barton St
Presque Isle, ME 04769-2906
Phone (860) 373-4971

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
I20230925003565 ME Practitioner - Nurse Practitioner 9234583246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP231431MEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Sep 24, 2023 Accepting new patients
The Aroostook Medical Center Single Specialty CurrentSince Sep 24, 2023 Accepting new patients

Locations

23 North St
Presque Isle, ME 04769
Phone (207) 760-9278

23 North St
Ste 1
Presque Isle, ME 04769
Phone (207) 764-5437

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1215713482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BARTON ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692906",
            "telephone_number": "860-373-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "860-373-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CORINNE",
        "middle_name": "CANNON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "CNP231431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.