Individual provider Active NPI

Kristi Fecteau, NP

  • Family Nurse Practitioner
  • Fort Fairfield, ME
National Provider Identifier
1376992768
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP161052 Issued in ME
Practice address
23 High St
Fort Fairfield, ME 04742-1021
Phone
(207) 768-4731
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP161052 ME Primary

Addresses

Primary practice location

23 High St
Fort Fairfield, ME 04742-1021

Mailing address

1755 Main Street
Mapleton, ME 04757
Phone (918) 810-8434

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
I20160816002946 ME Practitioner - Nurse Practitioner 6103111000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Access Network IncGroup PAC ID 2769393180, 24 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians

Practice addresses (Care Compare)

175 W Broadway
Lincoln, ME 04457-0001
Phone (207) 794-6700

21 Western Ave
St Joseph Family Medicine Hampden
Hampden, ME 04444-1422
Phone (207) 862-0330

360 Broadway
Bangor, ME 04401-3979

900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network, Inc. CurrentSince Aug 11, 2018 Accepting new patients
Health Access Network, Inc CurrentSince Aug 11, 2018 Accepting new patients
St. Joseph Hospital CurrentSince Mar 19, 2025 Accepting new patients

Locations

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

900 Broadway
Bldg 1
Bangor, ME 04401
Phone (207) 907-1187

21 Western Ave
Hampden, ME 04444
Phone (207) 862-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD
  • Direct secure messaging: kfecteau2805830@direct.bsmhealth.org

Organizations & group practices 3

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 2

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1376992768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 MAIN STREET",
            "city": "MAPLETON",
            "state": "ME",
            "postal_code": "04757",
            "telephone_number": "918-810-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HIGH ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421021",
            "telephone_number": "207-768-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "KRISTI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Fairfield, ME

Sources for this page

Verify at the official NPI Registry.