Maddrey Alicia Coover, FNP
Individual provider Active NPI Family Nurse Practitioner · Southwest Harbor, ME
NPI 1376220616 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1376220616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP231323 (ME)
- Practice address
- 16 Community LN
Southwest Harbor, ME 04679-4273 - Phone
- (207) 244-5630
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20230906000247 | ME | Practitioner - Nurse Practitioner | 3476916628 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP231323 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Current |
Accepting new patients | |
| Mount Desert Island Hospital | Current |
Accepting new patients |
Locations
322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082
16 Community Ln
Southwest Harbor, ME 04679
Phone (207) 244-5630
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP231323 | ME | Yes |
Addresses
Primary practice location
16 Community LN
Southwest Harbor, ME 04679-4273
Mailing address
185 Smithville Rd
Steuben, ME 04680-2715
Phone (207) 598-6250
Other providers in Southwest Harbor, ME
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- Hilary C Chermak
- Bartholomew Clayton
- Mary Dalheim
- Kary G Davidson
- Luke Deckert
- Ann M Dundon
- Kari Collins Guillen
All providers in Southwest Harbor, 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 Jun 29, 2023. 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.