Lauren M Moody, FNPC
Individual provider Active NPI Family Nurse Practitioner · Winterport, ME
NPI 1356902605 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1356902605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP191085 (ME)
- Practice address
- 775 N Main St
Winterport, ME 04496-3414 - Phone
- (207) 223-0965
- Fax
- (207) 223-0975
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penobscot Community Health Center
Practice addresses (Care Compare)
1012 Union St
Bangor, ME 04401-3058
1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181
992 Union St
Bangor, ME 04401-3057
Hospital & facility affiliations
- Centerwell Home Health
- St Joseph Homecare
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Mainehealth Waldo Hospital
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 |
|---|---|---|---|---|
| I20190809000480 | ME | Practitioner - Nurse Practitioner | 3375870694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current |
Accepting new patients | |
| Penobscot Community Health Center | Current |
Accepting new patients | |
| Penobscot Community Health Center | Past | Accepting new patients |
Locations
1012 Union St
Ste 3
Bangor, ME 04401
Phone (207) 404-8040
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
1012 Union St
Bangor, ME 04401
Phone (207) 404-8200
775 N Main St
Winterport, ME 04496
Phone (207) 223-0965
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP191085 | ME | Yes |
Addresses
Primary practice location
775 N Main St
Winterport, ME 04496-3414
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other providers in Winterport, ME
- Kimberly Lynne Herz
- Homes of Revival Inc.
- Robbin J League
- Holly Ann Littlefield
- Heather Joyce Mitchell
- Megan Moran
- MPS Therapy LLC
- Melissa Ormsby
- Penobscot Community Health Center
- Hailee A Phillips
All providers in Winterport, ME · Family 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 May 5, 2021. 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.