Individual provider Active NPI

Terri Mumme, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Eastport, ME
National Provider Identifier
1386294809
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191260 Issued in ME
Practice address
30 Boynton St
Eastport, ME 04631-1306
Phone
(207) 853-6001
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 CNP191260 ME Primary

Addresses

Primary practice location

30 Boynton St
Eastport, ME 04631-1306

Mailing address

30 Boynton St
Eastport, ME 04631-1306
Phone (207) 853-6001

Other practice location 1

11 Back Rd
Pleasant Point, ME 04667-4119
Phone (207) 853-0644 ext. 247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230606002982 TX Practitioner - Nurse Practitioner 8123406501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Peter Dana Point Rd
Indian TWP, ME 04668-5007
Phone (207) 796-2321

P O Box
Suite 97
Indian TWP, ME 04668-0097

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP191260MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Township Tribal Government CurrentSince Feb 17, 2023 Accepting new patients
Indian Township Tribal Government Current Accepting new patients

Locations

401 Peter Dana Point Rd
Indian Twp, ME 04668
Phone (207) 796-2321

Organizations & group practices 2

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1386294809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311306",
            "telephone_number": "207-853-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311306",
            "telephone_number": "207-853-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Back Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Point",
            "state": "ME",
            "postal_code": "046674119",
            "country_code": "US",
            "telephone_number": "207-853-0644 x247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMME",
        "first_name": "TERRI",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastport, ME

Sources for this page

Verify at the official NPI Registry.