Individual provider Active NPI

Melissa Marie Charette, APRN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1629050992
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP81160 Issued in ME
Practice address
175 Union St
Suite C
Bangor, ME 04401-6100
Phone
(207) 316-9071
Fax
(207) 433-1024
NPI assigned
Nov 14, 2005
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81160 ME Primary

Addresses

Primary practice location

175 Union St
Suite C
Bangor, ME 04401-6100

Mailing address

175 Union St
Suite C
Bangor, ME 04401-6100
Phone (207) 316-9071

Other names 1

  • Melissa Harper 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
I20090416000163 ME Practitioner - Nurse Practitioner 9739089855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Behavioral Healthcare LLCGroup PAC ID 7214097740, 29 clinicians

Practice addresses (Care Compare)

157 Park St
Bangor, ME 04401-5000

157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP81160MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Healthcare, LLC CurrentSince Jan 1, 2024 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410

222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1629050992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "address_2": "SUITE C",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016100",
            "telephone_number": "207-316-9071",
            "fax_number": "207-433-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 UNION ST",
            "address_2": "SUITE C",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016100",
            "telephone_number": "207-316-9071",
            "fax_number": "207-433-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HARPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.