Mona E Gagne, CRNA/APRN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R017375 Issued in ME

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 992-4032

Fax

(207) 992-4034

NPI assigned

Oct 18, 2006

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• True North Anesthesia L.L.C.

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
  • NPI 1194176040

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1457432429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST STE 205",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122055",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "MONA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNA/APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "R017375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457432429",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Full Circle Wellness Center, Inc.
• Jeffrey Fuller, CADC
• Joshua Allan Fullerton
• Megan Christie Furtado, LMSW/CC
• Noah Stephen Gaar, DPT
• Addison Gagnon, MS OT/L
• Brianne Kori Gagnon
• Danielle Lee Gagnon, LSW-C
• Edithe Anne Gagnon, LCSW, DCSW
• Melanie Gagnon, RN

• Certified Registered Nurse Anesthetist in Bangor, ME
• Providers in Bangor, ME by specialty
• Certified Registered Nurse Anesthetist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.