Anthony Caiazzo, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Topsham, ME
NPI 1306436902 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1306436902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP201336 (ME)
- Practice address
- 1 Wellness Way
Topsham, ME 04086-1768 - Phone
- (207) 406-7600
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
1 Wellness Way
Suite a
Topsham, ME 04086-1768
Phone (207) 406-7600
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Chans Home Health and Hospice
- Mainehealth Mid Coast Hospital
- Mainehealth Maine Medical Center
- Central Maine Medical Center
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 |
|---|---|---|---|---|
| I20210226001320 | ME | Practitioner - Nurse Practitioner | 8022423979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP201336 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808
Interoperability endpoints
- acaiazzo364051@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP201336 | ME | Yes |
Addresses
Primary practice location
1 Wellness Way
Topsham, ME 04086-1768
Mailing address
285 Elmwood Rd
Pownal, ME 04069-6311
Phone (207) 776-3012
Other providers in Topsham, ME
- Megan Ann Brewer
- Rebecca Brewster-Taylor
- Anne Elizabeth Buckley
- Joshua Burke
- Julia Sullivan Cabral
- Noah Riley Caron
- Robert Edward Carroll Jr.
- Charitable Hearts Home Care
- Michelle Charleson
- Daniel W Chase
All providers in Topsham, 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 Jan 19, 2021. 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.