Individual provider Active NPI

Carrissa Beth Hankins, FNP-C

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1619203270
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP91062 Issued in ME
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

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20100111000589 ME Practitioner - Nurse Practitioner 8820139942 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP091062MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jul 1, 2023 Accepting new patients
Central Maine Medical Center CurrentSince May 26, 2019 Accepting new patients
Central Maine Medical Center CurrentSince May 26, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.