Individual provider Active NPI

Samantha Phyllis Paradis, FNP

  • Family Nurse Practitioner
  • Caribou, ME
National Provider Identifier
1356903082
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191086 Issued in ME
Practice address
118 Bennett Dr
Caribou, ME 04736-2052
Phone
(207) 498-3502
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP191086 ME Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP191086 ME

Addresses

Primary practice location

118 Bennett Dr
Caribou, ME 04736-2052

Mailing address

931 Union St
Bangor, ME 04401-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH, FL, CA, WV, VA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190816002968 ME Practitioner - Nurse Practitioner 1759619554 Reassigns benefits to 3 organizations
I20230403001543 NH Practitioner - Nurse Practitioner 1759619554 Reassigns benefits to 1 organization
I20230411000610 FL Practitioner - Nurse Practitioner 1759619554 Reassigns benefits to 1 organization
I20230719003333 CA Practitioner - Nurse Practitioner 1759619554
I20240110004999 WV Practitioner - Nurse Practitioner 1759619554 Reassigns benefits to 1 organization
I20240306002660 VA Practitioner - Nurse Practitioner 1759619554 Reassigns benefits to 1 organization

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
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

15 Hartford St
Houlton, ME 04730-1823
Phone (800) 683-8313

201 2ND St E
Bradenton, FL 34208-1030
Phone (800) 683-8313

265 Main St
Suite 201
Biddeford, ME 04005-3091
Phone (800) 683-8313

300 Judge Harvey
Dunbar, WV 25064
Phone (800) 683-8318

40 Winter St
Suite 204
Rochester, NH 03867-3139
Phone (800) 683-8313

6212 Jefferson Ave
Newport News, VA 23605-1500
Phone (800) 683-8313

77 Park St
Rockland, ME 04841-2846
Phone (800) 683-8313

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Maine, LLC CurrentSince Mar 27, 2020 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 21, 2019 Accepting new patients
Recover Together, LLC Family CurrentSince Feb 1, 2022 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 21, 2019 Accepting new patients
Vna Home Health & Hospice PastSince Jul 24, 2022 Accepting new patients

Locations

376 Hartnell Ave
Ste A
Redding, CA 96002
Phone (530) 806-0404

Dept CH17590
Palatine, IL 60055

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

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

23 High St
Ft Fairfield, ME 04742
Phone (207) 768-4753

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

40 Winter St
Ste 204
Rochester, NH 03867
Phone (603) 556-8892

6212 Jefferson Ave
Newport News, VA 23605

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1356903082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BENNETT DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362052",
            "telephone_number": "207-498-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADIS",
        "first_name": "SAMANTHA",
        "middle_name": "PHYLLIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191086",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP191086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.