Individual provider Active NPI

Sylvia Irene Ingerson, PMH-N, CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, ME
National Provider Identifier
1558347385
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RO14261 Issued in ME
Practice address
213 Titcomb Hill Rd
Unit B4
Farmington, ME 04938-5639
Phone
(207) 288-8604
Fax
(207) 288-8602
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81144 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RO14261 ME Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RO14261 ME

Addresses

Primary practice location

213 Titcomb Hill Rd
Unit B4
Farmington, ME 04938-5639

Mailing address

213 Titcomb Hill Rd 4B
Farmington, ME 04938-5639
Phone (207) 778-1862

Other identifiers 4

IdentifierTypeStateIssuer
0NS8053MedicaidVT
2082154OtherVTCIGNA BEHAVIORAL HEALTH
432710499MedicaidME
68944BSOtherVTBLUE SHIELD OF VT

Other names 1

  • Miss Sylvia Irene Levasseur Former name

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
I20040803000604 ME Practitioner - Certified Clinical Nurse Specialist (CNS) 7618948795 Practice locations: Farmington, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
CNP81144MEMDPsychiatric/Mental Health Nurse Practitioner
RO14261MEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Hospital and Health Center Inc PastSince Aug 4, 1992 Accepting new patients
North Country Hospital & Health Center Inc Past Accepting new patients
Mount Desert Island Hospital PastSince Feb 9, 2020 Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1558347385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TITCOMB HILL RD 4B",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385639",
            "telephone_number": "207-778-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TITCOMB HILL RD",
            "address_2": "UNIT B4",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385639",
            "telephone_number": "207-288-8604",
            "fax_number": "207-288-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGERSON",
        "first_name": "SYLVIA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PMH-N, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RO14261",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "RO14261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NS8053",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2082154",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432710499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF VT",
            "identifier": "68944BS",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "LEVASSEUR",
            "middle_name": "IRENE",
            "prefix": "MISS",
            "credential": "PMH NP CNS LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.