Individual provider Active NPI

Anne Marie Rogerson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, ME
National Provider Identifier
1255965190
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP201232 Issued in ME
Practice address
305 Commercial St Ste 103
Portland, ME 04101-5625
Phone
(207) 808-1384
Fax
(207) 221-1710
NPI assigned
Mar 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN38531 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP201232 ME Primary

Addresses

Primary practice location

305 Commercial St Ste 103
Portland, ME 04101-5625

Mailing address

176 Island Way
Carmel, ME 04419-3154
Phone (207) 944-6167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN38531MEMDPsychiatric/Mental Health Registered Nurse
CNP201232MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Resources of Maine Inc Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Constance W Jordan Anp Pmhnp PLLC CurrentSince Oct 22, 2023 Accepting new patients
Sweetser CurrentSince Jul 17, 2023 Accepting new patients

Locations

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

305 Commercial St
Ste 103
Portland, ME 04101
Phone (207) 747-5958

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 3

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": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1255965190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ISLAND WAY",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193154",
            "telephone_number": "207-944-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COMMERCIAL ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015625",
            "telephone_number": "207-808-1384",
            "fax_number": "207-221-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERSON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RN38531",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP201232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.