Individual provider Active NPI

Arielle Rancourt

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1346970951
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221289 Issued in ME
Practice address
77 Bates St
Lewiston, ME 04240-7637
Phone
(207) 784-5784
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN68843 ME
Family Nurse Practitioner 363LF0000X CNP221289 ME Primary

Addresses

Primary practice location

77 Bates St
Lewiston, ME 04240-7637

Mailing address

93 Webster Rd
Freeport, ME 04032-6230

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
I20220728000215 ME Practitioner - Nurse Practitioner 0547642282 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

105 Topsham Fair Mall Rd
Topsham, ME 04086-1773
Phone (207) 798-6300

12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

77 Bates St
Suite 201
Lewiston, ME 04240-7637
Phone (207) 795-5784

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN68843MEMDRegistered Nurse
CNP221289MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Jun 16, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jun 16, 2022 Accepting new patients
Rumford Hospital CurrentSince Jun 16, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jun 16, 2022 Accepting new patients
Rumford Hospital CurrentSince Jun 16, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jun 16, 2022 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

77 Bates St
Ste 202
Lewiston, ME 04240
Phone (207) 784-5784

77 Bates St
Lewiston, ME 04240
Phone (207) 753-3080

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 6

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 2

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1346970951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEBSTER RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BATES ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-784-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCOURT",
        "first_name": "ARIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN68843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.