Sara Jean Willey, APRN
Individual provider Active NPI Family Nurse Practitioner · Bucksport, ME
NPI 1295101129 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1295101129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP151045 (ME)
- Practice address
- 110 Broadway
Bucksport, ME 04416-4612 - Phone
- (207) 469-7371
- Fax
- (207) 469-7306
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bucksport Regional Health Center
Practice addresses (Care Compare)
110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616001370 | ME | Practitioner - Nurse Practitioner | 8729379037 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP151045 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadia Hospital Corp | Current |
Accepting new patients | |
| Bucksport Regional Health Center | Current |
Accepting new patients | |
| Bucksport Regional Health Center | Current |
Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients |
Locations
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
110 Broadway
Bucksport, ME 04416
Phone (207) 469-7371
37 Commerce Park
Ellsworth, ME 04605
Phone (207) 667-2422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP151045 | ME | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP151045 | ME |
Addresses
Primary practice location
110 Broadway
Bucksport, ME 04416-4612
Mailing address
110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371
Other providers in Bucksport, ME
- Vancil Vision Care
- Jessica Jon Vancil
- Nancy Ann Violette
- Walgreen Eastern Co Inc
- Stanley L Whittemore Jr.
All providers in Bucksport, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.