Individual provider Active NPI

Autumn Corbin, NP

  • Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1336784941
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP08079 Issued in ME
Practice address
149 North St
Waterville, ME 04901-4974
Phone
(207) 872-1328
Fax
(207) 872-1702
NPI assigned
Nov 7, 2019
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP08079 ME Primary

Addresses

Primary practice location

149 North St
Waterville, ME 04901-4974

Mailing address

149 North St
Waterville, ME 04901-4974
Phone (207) 872-1328

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108002036 ME Practitioner - Nurse Practitioner 9234564857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

34 Gilman Rd
Bangor, ME 04401-3516
Phone (207) 941-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP08079MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
Mainegeneral Medical Center Nurse Practitioner CurrentSince Nov 13, 2019 Accepting new patients
American Current Care, P.a. CurrentSince May 9, 2022 Accepting new patients
American Current Care P.a. CurrentSince May 9, 2022 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 13, 2019 Accepting new patients
Impact Health Me, LLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients

Locations

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

188 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3121

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

34 Gilman Rd
Bangor, ME 04401
Phone (207) 941-8300

85 Western Ave
South Portland, ME 04106
Phone (207) 408-0479

149 North St
Waterville, ME 04901
Phone (207) 622-1959

370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021

Interoperability endpoints

  • Direct secure messaging: autumncorbin@mgh.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1336784941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-872-1328",
            "fax_number": "207-872-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-872-1328",
            "fax_number": "207-872-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "AUTUMN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP08079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.