Janice Marie Small, FNP
Individual provider Active NPI Family Nurse Practitioner · Princeton, ME
NPI 1457724148 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1457724148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP151150 (ME)
- Practice address
- 136 Mill St
Princeton, ME 04668-3344 - Phone
- (207) 796-5503
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Croix Regional Family Health Center
Practice addresses (Care Compare)
136 Mill St
Princeton, ME 04668-3344
Phone (207) 796-5503
Hospital & facility affiliations
- Calais Community Hospital
- Down East Community Hospital
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151218000796 | ME | Practitioner - Nurse Practitioner | 5890096796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Croix Regional Family Health Center | Current |
Accepting new patients | |
| St Croix Regional Family Health Center | Past | Accepting new patients |
Locations
35 Blue Devil HL
Calais, ME 04619
5 Lowell St
Ste 4
Calais, ME 04619
Phone (207) 796-5033
136 Mill St
Princeton, ME 04668
Phone (207) 796-5033
Interoperability endpoints
- janice.small@scrfhc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BCGABA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP151150 | ME | Yes |
Addresses
Primary practice location
136 Mill St
Princeton, ME 04668-3344
Mailing address
136 Mill St
Princeton, ME 04668-3344
Phone (207) 726-2027
Other providers in Princeton, ME
- Virginia E Pond
- Mary C Repole
- Marisol Rivera
- Angela S Sabattus
- Kierra Shain
- Judy Splittgerber
- St Croix Regional Family Health Center
- Michael Swope
- Patricia Jean Todd-Lewis
- Town of Princeton School Department
All providers in Princeton, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.