Individual provider Active NPI

Allison Mina Freeman Ainsworth, NP

  • Family Nurse Practitioner
  • Fort Fairfield, ME
National Provider Identifier
1487710505
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP111118 Issued in ME
Practice address
11 Harmony LN
Fort Fairfield, ME 04742-3354
Phone
(207) 472-0590
Fax
(207) 472-0597
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 251949 MA
Family Nurse Practitioner 363LF0000X CNP111118 ME Primary

Addresses

Primary practice location

11 Harmony LN
Fort Fairfield, ME 04742-3354

Mailing address

PO Box 40
Caribou, ME 04736-0040
Phone (508) 776-7018

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
I20160222001383 ME Practitioner - Nurse Practitioner 0547254468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

74 Access Hwy
Caribou, ME 04736-3807
Phone (207) 498-2350

PO Box
Caribou, ME 04736

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251949MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Health Services Family CurrentSince Feb 1, 2016 Accepting new patients
Pines Health Services CurrentSince Feb 1, 2016 Accepting new patients

Locations

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

11 Harmony Ln
Fort Fairfield, ME 04742
Phone (207) 472-0590

Interoperability endpoints

  • Direct secure messaging: aainsworth376933@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1487710505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040",
            "telephone_number": "508-776-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HARMONY LN",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047423354",
            "telephone_number": "207-472-0590",
            "fax_number": "207-472-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "ALLISON",
        "middle_name": "MINA FREEMAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "251949",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP111118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Fairfield, ME

Sources for this page

Verify at the official NPI Registry.