Individual provider Active NPI

Amber Rose Mastronardi, FNP-C

  • Family Nurse Practitioner
  • Rockport, ME
National Provider Identifier
1346021672
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP231555 Issued in ME
Practice address
4 Glen Cove Dr Ste 103
Rockport, ME 04856-4236
Phone
(207) 301-5970
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP231555 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr Ste 103
Rockport, ME 04856-4236

Mailing address

PO Box 296
Port Clyde, ME 04855-0296
Phone (207) 542-9530

Other names 1

  • Amber Rose Kenney Former name

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
I20231116000983 ME Practitioner - Nurse Practitioner 2668829458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

4 Glen Cove Dr
Rockport, ME 04856-4235

Hospital & facility affiliations

  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 7, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 7, 2023 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737

Interoperability endpoints

  • Direct secure messaging: amastronardi155328@direct.mmc.mainehealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1346021672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "PORT CLYDE",
            "state": "ME",
            "postal_code": "048550296",
            "telephone_number": "207-542-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564236",
            "telephone_number": "207-301-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRONARDI",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "KENNEY",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.