Theresa Ann Rush, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Belgrade, ME
NPI 1336739267 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1336739267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP211003 (ME)
- Practice address
- 4 Clement Way
Belgrade, ME 04917-4370 - Phone
- (207) 495-3323
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthreach Community Health Centers
Health Affiliates Maine, LLC
Practice addresses (Care Compare)
16 Depot St
Suite 300
Livermore Falls, ME 04254-1311
Phone (207) 897-4345
24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359
306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278
4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924
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 |
|---|---|---|---|---|
| I20210908003545 | ME | Practitioner - Nurse Practitioner | 3870999352 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN66641 | ME | MD | Psychiatric/Mental Health Registered Nurse |
| CNP211003 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthreach Community Health Centers | Current |
Accepting new patients | |
| Health Affiliates Maine, LLC | Current |
Accepting new patients | |
| Healthreach Community Health Centers | Current |
Accepting new patients |
Locations
306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278
4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924
16 Depot St
Ste 300
Livermore Falls, ME 04254
Phone (207) 897-4345
24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN66641 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP211003 | ME | Yes |
Addresses
Primary practice location
4 Clement Way
Belgrade, ME 04917-4370
Mailing address
4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 495-3323
Other practice location 1
230 Back St
N Monmouth, ME 04265-6002
Phone (207) 624-1540
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | theresa@gratefulmindllc.com | Direct |
Other providers in Belgrade, ME
- Isaiah Meyer
- Raymond W. Naslund Jr.
- Northwest Winds LLC
- Danielle Peterson
- Dianne Jean Raymond
- Michelle Sweetser
- Julie Tardiff
- Patricia Beck True
- Alexander James Wall III
- Robyn Andrea Weissman
All providers in Belgrade, 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 Jun 2, 2025. 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.