Individual provider Active NPI

Lisa S Milne, N.P.

  • Nurse Practitioner
  • Millinocket, ME
National Provider Identifier
1396701470
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1264-033 Issued in WI
Practice address
50 Summer St
Millinocket, ME 04462-1400
Phone
(207) 528-8010
Fax
(207) 528-2880
NPI assigned
Apr 26, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1264-033 WI Primary

Addresses

Primary practice location

50 Summer St
Millinocket, ME 04462-1400

Mailing address

PO Box 500
Patten, ME 04765-0500
Phone (207) 528-8010

Other identifiers 1

IdentifierTypeStateIssuer
43920100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131016001577 ME Practitioner - Nurse Practitioner 5395846349 Reassigns benefits to 3 organizations
I20190529000548 TX Practitioner - Nurse Practitioner 5395846349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millinocket Regional HospitalGroup PAC ID 3779491212, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

200 Somerset St
Millinocket, ME 04462-1258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1264-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calais Community Hospital CurrentSince Jul 1, 2019 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2019 Accepting new patients
Millinocket Regional Hospital CurrentSince Jun 24, 2024 Accepting new patients
Millinocket Regional Hospital CurrentSince Jun 24, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2019 Accepting new patients
Katahdin Valley Health Center Past Accepting new patients
Aurora Quick Care, LLC Nurse Practitioner PastSince Jun 28, 2017 Accepting new patients

Locations

37 Palmer St
Calais, ME 04619
Phone (207) 454-3307

37 Palmer St
Ste 3
Calais, ME 04619
Phone (207) 454-8195

200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/calais-879327e9

Organizations & group practices 7

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.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1396701470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650500",
            "telephone_number": "207-528-8010",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SUMMER ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621400",
            "telephone_number": "207-528-8010",
            "fax_number": "207-528-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNE",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1264-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43920100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.