Michelle Chamberland, PMH-NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bangor, ME
NPI 1376889659 · NPPES record last updated Dec 14, 2012
Key facts
- NPI
- 1376889659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP121121 (ME)
- Practice address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - Phone
- (207) 973-6199
- Fax
- (207) 973-6040
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
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 |
|---|---|---|---|---|
| I20130422000082 | ME | Practitioner - Nurse Practitioner | 9739325655 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP121121 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgton Hospital | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| St. Joseph Hospital | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients | |
| Acadia Healthcare, Inc | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Acadia Hospital Corp | Current |
Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
23 Water St
Ste 203
Bangor, ME 04401
Phone (207) 973-6620
489 State St
Bangor, ME 04401
Phone (207) 973-8837
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP121121 | ME | Yes |
Addresses
Primary practice location
268 Stillwater Ave
Bangor, ME 04401-3945
Mailing address
7 Autumn LN
Brewer, ME 04412-1680
Other providers in Bangor, ME
- CCM-4U, LLC
- Center for Integrative and Regenerative Medicine
- Centerwell Certified Healthcare Corp.
- Anne Elizabeth Chamberlain Small
- Nicholas Matthew Chamberlain-Nunes
- Avian Chien Leong Vincent Chang
- Teralyn Ga Ling Chang
- Carol James Cookson Chapman
- Catherine Charette
- Melissa Marie Charette
All providers in Bangor, ME · Psychiatric/Mental Health 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 Dec 14, 2012. 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.