Individual provider Active NPI

Lindsey Desrosier, NP

  • Primary Care Nurse Practitioner
  • Van Buren, ME
National Provider Identifier
1366051666
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP201205 Issued in ME
Practice address
4 Main St
Van Buren, ME 04785-1009
Phone
(207) 868-2796
Fax
(207) 868-2799
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X CNP201205 ME Primary

Addresses

Primary practice location

4 Main St
Van Buren, ME 04785-1009

Mailing address

4 Main St
Van Buren, ME 04785-1009
Phone (207) 868-2796

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
I20200908001766 ME Practitioner - Nurse Practitioner 9436577442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

309 Saint Thomas St
Suite 213
Madawaska, ME 04756-1278
Phone (207) 728-4779

Hospital & facility affiliations

  • Valley Home Health Services Home health agency, Caribou, ME, CCN 207054
  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou Multi-Specialty CurrentSince Sep 9, 2020 Accepting new patients
Pines Health Services Multi-Specialty CurrentSince Aug 10, 2020 Accepting new patients
Fish River Rural Health CurrentSince Sep 1, 2025 Accepting new patients
Pines Health Services Multi-Specialty CurrentSince Aug 10, 2020 Accepting new patients
Fish River Rural Health CurrentSince Sep 1, 2025 Accepting new patients
Fish River Rural Health Multi-Specialty Current Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients

Locations

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

381 Main St
Madawaska, ME 04756
Phone (207) 728-3971

309 Saint Thomas St
Ste 213
Madawaska, ME 04756
Phone (207) 728-3971

309 Saint Thomas St
Madawaska, ME 04756
Phone (207) 728-4779

4 Main St
Van Buren, ME 04785
Phone (207) 868-2796

Interoperability endpoints

  • Direct secure messaging: lindsey.desrosier.1@10077.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1366051666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851009",
            "telephone_number": "207-868-2796",
            "fax_number": "207-868-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851009",
            "telephone_number": "207-868-2796",
            "fax_number": "207-868-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIER",
        "first_name": "LINDSEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP201205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, ME

Sources for this page

Verify at the official NPI Registry.