NPIMap

Individual provider Active NPI

Amy Lynne Bergeron, FNP

  • Family Nurse Practitioner
  • Biddeford, ME
National Provider Identifier
1417944455
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP81508 Issued in ME
Practice address
46 Barra Rd Ste 201202
Biddeford, ME 04005-9459
Phone
(207) 282-3349
Fax
(207) 294-3541
NPI assigned
Oct 4, 2005
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP81508 ME
Family Nurse Practitioner 363LF0000X CNP81508 ME Primary

Addresses

Primary practice location

46 Barra Rd Ste 201202
Biddeford, ME 04005-9459

Mailing address

46 Barra Rd Ste 201202
Biddeford, ME 04005-9459
Phone (207) 282-3349

Other practice location 1

190 Stetson Rd
Auburn, ME 04210-7813
Phone (207) 784-7388

Other identifiers 1

IdentifierTypeStateIssuer
266180099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001054 ME Practitioner - Nurse Practitioner 6406881283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

4 Horton PL
Topsham, ME 04086-1747
Phone (207) 798-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP081508MEMDNurse Practitioner
CNP81508MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 15, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Sep 1, 2007 Accepting new patients
Mainehealth CurrentSince Apr 15, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Sep 1, 2007 Accepting new patients
Mainehealth Current Accepting new patients
Central Maine Conditioning Clinic, Inc Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

10 Minot Ave
Auburn, ME 04210
Phone (207) 784-7388

190 Stetson Rd
Auburn, ME 04210
Phone (207) 783-0591

46 Barra Rd
Ste 201202
Biddeford, ME 04005
Phone (207) 282-3349

126 Shaker Rd
Gray, ME 04039
Phone (207) 657-3308

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

13 Industrial Park Rd
Saco, ME 04072
Phone (207) 283-8800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1417944455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BARRA RD STE 201202",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-282-3349",
            "fax_number": "207-294-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BARRA RD STE 201202",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-282-3349",
            "fax_number": "207-294-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Stetson Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042107813",
            "country_code": "US",
            "telephone_number": "207-784-7388",
            "fax_number": "207-795-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP81508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266180099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.