Organization Active NPI

Western Mountain Neurosolutions

  • Medical Specialty Clinic/Center
  • Farmington, ME
National Provider Identifier
1598428476
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
WESTERN MOUNTAIN NEUROSOLUTIONS
Practice address
145 Main St # 1
Farmington, ME 04938-1924
Phone
(207) 779-6553
Fax
(207) 652-2445
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Amelia Hutchinson, FNP-BCNPI 1992241236
Title
Owner
Phone
(207) 491-9151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

145 Main St # 1
Farmington, ME 04938-1924

Mailing address

145 Main St # 1
Farmington, ME 04938-1924
Phone (207) 779-6553

Other identifiers 2

IdentifierTypeStateIssuer
1992241236MedicaidME
CNP161223OtherMEMAINE STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WMNEURO@OUTLOOK.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028001799 ME Part B Supplier - Clinic/Group Practice 5092103721 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, ME

National Provider Directory

National Provider Directory

Locations

145 Main St
#1
Farmington, ME 04938
Phone (207) 779-6553

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1598428476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAIN ST # 1",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381924",
            "telephone_number": "207-779-6553",
            "fax_number": "207-652-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAIN ST # 1",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381924",
            "telephone_number": "207-779-6553",
            "fax_number": "207-652-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MOUNTAIN NEUROSOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-491-9151",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992241236",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE BOARD OF NURSING",
            "identifier": "CNP161223",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WMNEURO@OUTLOOK.COM",
            "affiliation": "N",
            "address_1": "145 Main St # 1",
            "city": "Farmington",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049381924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.