Active NPI
Kurtis M Schneider, RN,MSN,NP
- Nurse Practitioner
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RO-37631
- Practice address
- 1155 Lisbon St
Tri County Mental Health SVC
Lewiston, ME 04240-5025 - Phone
- (207) 783-9141
- Fax
- (207) 783-4660
- NPI assigned
- May 12, 2008
- Last updated
- May 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RO-37631 | ME | Primary |
| Clinical Nurse Specialist | 364S00000X | 0372467 | ME |
Addresses
Primary practice location
1155 Lisbon St
Tri County Mental Health SVC
Lewiston, ME 04240-5025
Mailing address
1155 Lisbon St
Tri County Mental Health SVC
Lewiston, ME 04240-5025
Phone (207) 783-9141
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
420 Cumberland Ave
Portland, ME 04101-2823
Phone (207) 781-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO-37631 | ME | MD | Nurse Practitioner |
| 0372467 | ME | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Maine | Current | Accepting new patients | |
| Tri-County Mental Health Services | Past | Accepting new patients | |
| Mid-Coast Mental Health Center | Past | Accepting new patients | |
| Spurwink Services Incorporated | Past | Accepting new patients |
Locations
24 Dunn St
Auburn, ME 04210
Phone (207) 784-2901
420 Cumberland Ave
Portland, ME 04101
Phone (207) 775-5671
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Portland, ME
- NPI 1013955947
-
- Community/Behavioral Health Agency
- Rockland, ME
- NPI 1376642066
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
-
- Mental Health Counselor
- Lewiston, ME
- NPI 1215979158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1255508958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 LISBON ST",
"address_2": "TRI COUNTY MENTAL HEALTH SVC",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405025",
"telephone_number": "207-783-9141",
"fax_number": "207-783-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 LISBON ST",
"address_2": "TRI COUNTY MENTAL HEALTH SVC",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405025",
"telephone_number": "207-783-9141",
"fax_number": "207-783-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "KURTIS",
"middle_name": "M",
"credential": "RN,MSN,NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "RO-37631",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "ME",
"license": "0372467",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 12, 2008; 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.