Individual provider Active NPI

Colleen Gilley, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1467019182
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP211200 Issued in ME
Practice address
268 Stillwater Ave
Bangor, ME 04401-3945
Phone
(207) 564-4110
Fax
(207) 564-4478
NPI assigned
May 29, 2019
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN67499 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP211200 ME Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN67499 ME

Addresses

Primary practice location

268 Stillwater Ave
Bangor, ME 04401-3945

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 564-4110

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
I20210715002897 ME Practitioner - Nurse Practitioner 2860894615 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians

Practice addresses (Care Compare)

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN67499MEMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince May 26, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince May 26, 2025 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Sep 27, 2025 Accepting new patients
Acadia Hospital Corp CurrentSince Jun 14, 2021 Accepting new patients
The Aroostook Medical Center CurrentSince May 24, 2025 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Sebasticook Valley Health CurrentSince May 24, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince May 24, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 6, 2025 Accepting new patients
MRH Corp. CurrentSince May 29, 2025 Accepting new patients
MRH Corp. CurrentSince May 29, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince May 24, 2025 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Sep 27, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 6, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince May 24, 2025 Accepting new patients
The Aroostook Medical Center CurrentSince May 24, 2025 Accepting new patients
Vna Home Health & Hospice Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1467019182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945",
            "telephone_number": "207-564-4110",
            "fax_number": "207-564-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945",
            "telephone_number": "207-564-4110",
            "fax_number": "207-564-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "COLLEEN",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ME",
            "license": "RN67499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211200",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN67499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.