Individual provider Active NPI

Sean J Farley, RN, BSN, CCRN

  • Acute Care Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1235503475
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP161216 Issued in ME
Practice address
1 Northeast Dr
Bangor, ME 04401-4332
Phone
(207) 275-3800
NPI assigned
Nov 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 545463 NY
Critical Care Medicine Registered Nurse 163WC0200X 26NR11263800 NJ
Acute Care Nurse Practitioner 363LA2100X CNP161216 ME Primary

Addresses

Primary practice location

1 Northeast Dr
Bangor, ME 04401-4332

Mailing address

43 Whiting Hill
Suite 300
Brewer, ME 04412
Phone (207) 973-5293

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfarley@direct.emhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170323000601 ME Practitioner - Nurse Practitioner 8628353166 Reassigns benefits to 1 organization
I20170530001269 NJ Practitioner - Nurse Practitioner 8628353166

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

1 Northeast Dr
Northern Light Cardiology
Bangor, ME 04401-4332
Phone (207) 275-3800

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR11263800NJMDCritical Care Medicine Registered Nurse
545463NYMDCritical Care Medicine Registered Nurse
CNP161216MEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Feb 28, 2017 Accepting new patients
Nbimc Department of Cardio-Thoracic CurrentSince Apr 8, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 28, 2017 Accepting new patients
Northeast Cardiology Associates Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

931 Union St
Fl 3
Bangor, ME 04401

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

Interoperability endpoints

  • Direct secure messaging: sfarley@direct.emhs.org

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.

Hospital & facility affiliations 6

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": "1448668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1235503475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL",
            "address_2": "SUITE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "04412",
            "telephone_number": "207-973-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHEAST DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014332",
            "telephone_number": "207-275-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "SEAN",
        "middle_name": "J",
        "credential": "RN, BSN, CCRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-28",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "545463",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR11263800",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP161216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfarley@direct.emhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Northeast Dr",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044014332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.