Individual provider Active NPI

Anthony W Posuniak, FNP-BC

  • Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1437723764
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP211223 Issued in ME
Practice address
543 Broadway
Bangor, ME 04401-3337
Phone
(207) 922-1300
NPI assigned
May 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 CNP211223 ME Primary

Addresses

Primary practice location

543 Broadway
Bangor, ME 04401-3337

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

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
I20210625001911 ME Practitioner - Nurse Practitioner 5092116244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucksport Regional Health CenterGroup PAC ID 9638135858, shared by 4 NPIs, 30 clinicians
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371

235 High St
Ellsworth, ME 04605-1715
Phone (207) 412-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Oct 18, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 18, 2023 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

543 Broadway
Bangor, ME 04401
Phone (207) 922-1300

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

235 High St
Ellsworth, ME 04605
Phone (207) 412-5200

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 3

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1437723764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013337",
            "telephone_number": "207-922-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSUNIAK",
        "first_name": "ANTHONY",
        "middle_name": "W",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP211223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.