Individual provider Active NPI

Lisa Nancy Wilmot, BAHS

  • Case Manager/Care Coordinator
  • Rockport, ME
National Provider Identifier
1376263194
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
APPLIED Issued in ME
Practice address
59 Old County Rd
Rockport, ME 04856-4007
Phone
(207) 542-7649
NPI assigned
Aug 31, 2022
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X APPLIED ME Primary

Addresses

Primary practice location

59 Old County Rd
Rockport, ME 04856-4007

Mailing address

59 Old County Rd
Rockport, ME 04856-4007
Phone (207) 542-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APPLIEDMEMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Midcoast Case Management Services Case Manager/Care Coordinator CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1376263194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 OLD COUNTY RD",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564007",
            "telephone_number": "207-542-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD COUNTY RD",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564007",
            "telephone_number": "207-542-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "LISA",
        "middle_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "BAHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ME",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.