Active NPI
Carrissa Beth Hankins, FNP-C
- Family Nurse Practitioner
- Lewiston, ME
National Provider Identifier
1619203270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP91062
- Practice address
- 76 High St.
Ste. 300
Lewiston, ME 04240 - Phone
- (207) 795-5978
- Fax
- (207) 795-5645
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP91062 | ME | Primary |
| Family Nurse Practitioner | 363LF0000X | AP091062 | ME |
Addresses
Primary practice location
76 High St.
Ste. 300
Lewiston, ME 04240
Mailing address
76 High St.
Ste. 300
Lewiston, ME 04240
Phone (207) 795-5978
Other names 1
- Miss Carrissa Beth Campbell
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP091062 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Horizons Health Services | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
76 High St
Ste 300
Lewiston, ME 04240
Phone (207) 795-5374
6 City Ctr
Portland, ME 04101
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Health Service Clinic/Center
- Presque Isle, ME
- NPI 1356676977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1619203270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 HIGH ST.",
"address_2": "STE. 300",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-795-5978",
"fax_number": "207-795-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 HIGH ST.",
"address_2": "STE. 300",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-795-5978",
"fax_number": "207-795-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKINS",
"first_name": "CARRISSA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP91062",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP091062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRISSA",
"last_name": "CAMPBELL",
"middle_name": "BETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.