Individual provider Active NPI

Rita L. Pomerleau, FNPC/ARNP-C

  • Family Nurse Practitioner
  • South Berwick, ME
National Provider Identifier
1386696433
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081482 Issued in ME
Practice address
57 Portland St
Suite 2a
South Berwick, ME 03908-1203
Phone
(207) 384-9212
Fax
(207) 384-2008
NPI assigned
May 17, 2006
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R038146 ME
Family Nurse Practitioner 363LF0000X AP081482 ME Primary

Addresses

Primary practice location

57 Portland St
Suite 2a
South Berwick, ME 03908-1203

Mailing address

57 Portland St
South Berwick, ME 03908-1203
Phone (207) 384-9212

Other identifiers 1

IdentifierTypeStateIssuer
277870099MedicaidME

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
I20050620000091 ME Practitioner - Nurse Practitioner 4688618705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP081482MEMDFamily Nurse Practitioner
R038146MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
York Hospital CurrentSince Aug 14, 2006 Accepting new patients

Locations

57 Portland St
South Berwick, ME 03908
Phone (207) 384-7260

57 Portland St
Ste 2A
South Berwick, ME 03908
Phone (207) 384-9212

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

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, 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1386696433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081203",
            "telephone_number": "207-384-9212",
            "fax_number": "207-384-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ST",
            "address_2": "SUITE 2A",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081203",
            "telephone_number": "207-384-9212",
            "fax_number": "207-384-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "RITA",
        "middle_name": "L.",
        "credential": "FNPC/ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R038146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277870099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

Verify at the official NPI Registry.