Individual provider Active NPI

Melissa A Mathurin, NP

  • Women's Health Nurse Practitioner
  • Belfast, ME
National Provider Identifier
1427168400
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
201282 Issued in ME
Practice address
8 Jesse Robbins Rd Ste E
Belfast, ME 04915-7510
Phone
(207) 492-4882
Fax
(207) 255-7204
NPI assigned
Aug 30, 2006
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 201282 ME Primary

Addresses

Primary practice location

8 Jesse Robbins Rd Ste E
Belfast, ME 04915-7510

Mailing address

8 Jesse Robbins Rd Ste E
Belfast, ME 04915-7510
Phone (207) 492-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 14, 2021 through Jan 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201282MEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hormonious Health LLC CurrentSince Feb 11, 2024 Accepting new patients
Planned Parenthood of the North Country New York, Inc. Past Accepting new patients
Northern Adirondack Planned Parenthood Inc Past Accepting new patients
Northpointe OB-GYN PC PastSince Oct 1, 2000 Accepting new patients

Locations

8 Jesse Robbins Rd
#E
Belfast, ME 04915
Phone (207) 322-8368

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1427168400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JESSE ROBBINS RD STE E",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157510",
            "telephone_number": "207-492-4882",
            "fax_number": "207-255-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JESSE ROBBINS RD STE E",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157510",
            "telephone_number": "207-492-4882",
            "fax_number": "207-255-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHURIN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "201282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.