Individual provider Active NPI

Kurtis M Schneider, RN,MSN,NP

  • Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1255508958
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RO-37631 Issued in ME
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000592 ME Practitioner - Nurse Practitioner 0941271555 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RO-37631MEMDNurse Practitioner
0372467MEMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Maine CurrentSince Sep 28, 2021 Accepting new patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients
Mid-Coast Mental Health Center Past Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 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.

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

Verify at the official NPI Registry.