Elizabeth Mae Incannella, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP201145 Issued in ME

Practice address

37 Palmer St Ste 2
Calais, ME 04619-1341

Phone

(207) 454-9516

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Calais Regional HospitalGroup PAC ID 6901715176, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Health & Counseling Services Home health agency, Bangor, ME, CCN 207026
• Calais Community Hospital Hospital, Calais, ME, CCN 201305
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.incannella.1@8356.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/calais-879327e9

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.

• Calais Community Hospital

  • Rural Health Clinic/Center
  • Calais, ME
  • NPI 1134200702
  Medicare reassignment NPD
• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Calais Community Hospital

  dba Baileyville Medical Center

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Care Compare affiliation
• Community Health and Counseling Services

  • Home Health Agency
  • Bangor, ME
  • NPI 1588720866
  Care Compare affiliation
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1275145393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PALMER ST STE 2",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191341",
            "telephone_number": "207-454-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PALMER ST STE 2",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191341",
            "telephone_number": "207-454-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCANNELLA",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher B Hayward, DO
• Helmstadter Counseling Services Inc.
• David G. Hodgkins, LCSW
• Allison Holmes, MHRT-CSP
• Susan B. Howland, BHP
• Ruth Jahn
• John Tkach MD
• Patricia Jollotta, LCPC
• Karen J Delaney DDS
• Katahdin Family Dental LLC

• Family Nurse Practitioner in Calais, ME
• Providers in Calais, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.

Verify at the official NPI Registry.