NPIMap

Individual provider Active NPI

Cecile Martel Sullivan Rohrbach, FNP-C

  • Family Nurse Practitioner
  • Yarmouth, ME
National Provider Identifier
1265622989
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081845 Issued in ME
Practice address
60 Forest Falls Dr Ste 1
Yarmouth, ME 04096-6971
Phone
(207) 846-0716
Fax
(207) 846-0718
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP081845 ME Primary

Addresses

Primary practice location

60 Forest Falls Dr Ste 1
Yarmouth, ME 04096-6971

Mailing address

60 Forest Falls Dr Ste 1
Yarmouth, ME 04096-6971
Phone (207) 846-0716

Other identifiers 1

IdentifierTypeStateIssuer
432658199MedicaidME

Other names 1

  • Cecile M Sullivan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000132 ME Practitioner - Nurse Practitioner 4486747482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthreach Community Health Centers 87 clinicians

Practice addresses (Care Compare)

16 Depot St
Livermore Falls, ME 04254-1311
Phone (207) 897-4345

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

Hospital & facility affiliations

  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP081845MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Oct 8, 2024 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

16 Depot St
Ste 300
Livermore Falls, ME 04254
Phone (207) 897-4345

Organizations & group practices 12

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 2

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1265622989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR STE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-846-0716",
            "fax_number": "207-846-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR STE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-846-0716",
            "fax_number": "207-846-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN ROHRBACH",
        "first_name": "CECILE",
        "middle_name": "MARTEL",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432658199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILE",
            "last_name": "SULLIVAN",
            "middle_name": "M",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.