Rachel Audrey Booker, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bangor, ME
NPI 1326319716 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1326319716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP91072 (ME)
- Practice address
- 68 Mount Hope Ave
Bangor, ME 04401-4096 - Phone
- (207) 949-0393
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cornerstone Behavioral Healthcare LLC
Practice addresses (Care Compare)
157 Park St
Bangor, ME 04401-5000
157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410
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 |
|---|---|---|---|---|
| I20120503000312 | ME | Practitioner - Nurse Practitioner | 6709048028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Current |
Accepting new patients |
Locations
157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410
222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP91072 | ME | Yes |
Addresses
Primary practice location
68 Mount Hope Ave
Bangor, ME 04401-4096
Mailing address
68 Mount Hope Ave
Bangor, ME 04401-4096
Phone (207) 949-0393
Other practice location 1
42 Cedar St.
Bangor, ME 04402
Phone (207) 947-0366
Other providers in Bangor, ME
- Anthony Bommarito
- Carla Bommarito
- Anne M Boniface
- James P Bonzey
- Danyle Marie Boobar
- Ann Boomer
- Alan Woodford Boone
- Borealis Mental Health Services LLC
- Joseph Borer
- Erin Borges
All providers in Bangor, ME · Psychiatric/Mental Health 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 Dec 20, 2023. 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.