Active NPI
Melissa Corrie Martel
- Family Nurse Practitioner
- Bangor, ME
National Provider Identifier
1326689001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP181274
- Practice address
- 444 Stillwater Ave Ste 210
Bangor, ME 04401-3500 - Phone
- (207) 573-4432
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP181274 | ME | Primary |
Addresses
Primary practice location
444 Stillwater Ave Ste 210
Bangor, ME 04401-3500
Mailing address
32 Starling Dr
Bangor, ME 04401-2779
Phone (207) 659-4418
Other practice location 1
23 Washington St Ste 3
Calais, ME 04619-1689
Phone (207) 560-3422
Other practice location 2
96 Harlow St Ste 310
Bangor, ME 04401-4977
Phone (781) 382-8053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326689001 | Medicaid | ME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bangor |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1326689001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 STARLING DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012779",
"telephone_number": "207-659-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 STILLWATER AVE STE 210",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013500",
"telephone_number": "207-573-4432"
}
],
"practiceLocations": [
{
"address_1": "23 Washington St Ste 3",
"address_purpose": "LOCATION",
"city": "Calais",
"state": "ME",
"postal_code": "046191689",
"country_code": "US",
"telephone_number": "207-560-3422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Harlow St Ste 310",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044014977",
"country_code": "US",
"telephone_number": "781-382-8053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTEL",
"first_name": "MELISSA",
"middle_name": "CORRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP181274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326689001",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bangor",
"affiliation": "N",
"address_1": "444 Stillwater Ave Ste 210",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.