Individual provider Active NPI

Larry Clifford Sexton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Augusta, ME
National Provider Identifier
1396849980
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP101014 Issued in ME
Practice address
841 Riverside Dr.
Augusta, ME 04330
Phone
(207) 213-4616
Fax
(207) 213-4727
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R049009 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP101014 ME Primary

Addresses

Primary practice location

841 Riverside Dr.
Augusta, ME 04330

Mailing address

PO Box 157
Nobleboro, ME 04555
Phone (207) 453-4708

Other identifiers 1

IdentifierTypeStateIssuer
432079799MedicaidME

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
I20100625000643 ME Practitioner - Nurse Practitioner 5294866802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 College Ave
Suite 301
Waterville, ME 04901-6100
Phone (207) 612-1075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP101014MEMDPsychiatric/Mental Health Nurse Practitioner
R049009MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Behavioral Health Organization CurrentSince May 2, 2013 Accepting new patients
Tumbleweed'S Counseling & Case Management Agency, Inc CurrentSince May 1, 2025 Accepting new patients

Locations

49 Oak St
Augusta, ME 04330
Phone (207) 399-5589

32 College Ave
Ste 205
Waterville, ME 04901

32 College Ave
Ste 301
Waterville, ME 04901
Phone (207) 612-1075

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1396849980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "NOBLEBORO",
            "state": "ME",
            "postal_code": "04555",
            "telephone_number": "207-453-4708",
            "fax_number": "207-453-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 RIVERSIDE DR.",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-213-4616",
            "fax_number": "207-213-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "LARRY",
        "middle_name": "CLIFFORD",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R049009",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "AP101014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432079799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.