Individual provider Active NPI

Justin D Alley, CRNA

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
National Provider Identifier
1356601843
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA123009 Issued in ME
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 992-4032
Fax
(207) 992-4034
NPI assigned
May 18, 2012
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA123009 ME Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

141 N Main St
Ste # 205
Brewer, ME 04412-2011
Phone (207) 992-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000804 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395901649 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA123009MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Valley Hospital CurrentSince May 19, 2013 Accepting new patients
Coastal Eye Care, P.a. CurrentSince Feb 4, 2025 Accepting new patients
True North Anesthesia L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Calais Community Hospital CurrentSince Jan 25, 2019 Accepting new patients
Cec, LLC CurrentSince Feb 4, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 24, 2013 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 24, 2013 Accepting new patients
MRH Corp. CurrentSince May 29, 2022 Accepting new patients
MRH Corp. CurrentSince May 29, 2022 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 21, 2017 Accepting new patients
Penobscot Valley Hospital CurrentSince May 19, 2013 Accepting new patients
Down East Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2021 Accepting new patients
Maine Eye Care Associates CurrentSince Oct 20, 2018 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 21, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince May 21, 2012 Accepting new patients
Eastern Maine Medical Center CurrentSince May 21, 2012 Accepting new patients
Calais Community Hospital CurrentSince Jan 25, 2019 Accepting new patients
Maine Eye Care Associates CurrentSince Oct 20, 2018 Accepting new patients
MRH Corp. Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032

489 State St
Bangor, ME 04401
Phone (207) 973-8837

141 N Main St
Ste 205
Brewer, ME 04412
Phone (207) 992-4032

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1356601843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "address_2": "STE # 205",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122011",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA123009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.