Individual provider Active NPI

Ellen C Taraschi, FNPC

  • Nurse Practitioner
  • Brewer, ME
National Provider Identifier
1548733090
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP181290 Issued in ME
Practice address
735 Wilson St
Brewer, ME 04412-1000
Phone
(207) 989-1567
Fax
(207) 989-2286
NPI assigned
Jan 8, 2019
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 CNP181290 ME Primary

Addresses

Primary practice location

735 Wilson St
Brewer, ME 04412-1000

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200

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
I20190228001827 ME Practitioner - Nurse Practitioner 2567701014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians

Practice addresses (Care Compare)

147 Waldo Ave
Belfast, ME 04915-6922
Phone (207) 922-3222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Association of Maine Inc CurrentSince Sep 1, 2022 Accepting new patients
Family Planning Association of Maine Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

68 Mount Hope Ave
Bangor, ME 04401
Phone (207) 945-6588

147 Waldo Ave
Belfast, ME 04915
Phone (207) 338-3736

248 State St
Ste 3A
Ellsworth, ME 04605
Phone (207) 667-4278

Interoperability endpoints

  • Direct secure messaging: ellen.taraschi.1@3508.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1548733090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WILSON ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121000",
            "telephone_number": "207-989-1567",
            "fax_number": "207-989-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASCHI",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP181290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.