Active NPI
Sandra J Aubelangella, CNS
- Psychiatric/Mental Health Nurse Practitioner
- Portland, ME
National Provider Identifier
1306883129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R015636
- Practice address
- 144 State St
Portland, ME 04101-3776 - Phone
- (207) 879-3526
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R015636 | ME | Primary |
Addresses
Primary practice location
144 State St
Portland, ME 04101-3776
Mailing address
144 State St
Portland, ME 04101-3776
Phone (207) 879-3526
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070219000642 | ME | Practitioner - Nurse Practitioner | 3678675816 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R015636 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Crisis and Counseling Centers, Inc. | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
10 Caldwell Rd
Augusta, ME 04330
Phone (207) 626-3448
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Augusta, ME
- NPI 1558382747
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1306883129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBELANGELLA",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "R015636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.