Melissa Marie Charette, APRN-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bangor, ME
NPI 1629050992 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1629050992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP81160 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
157 Park St
Bangor, ME 04401-5000
157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090416000163 | ME | Practitioner - Nurse Practitioner | 9739089855 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81160 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP81160 | ME | Yes |
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
- Melissa Harper
Other providers in Bangor, ME
- Michelle Chamberland
- Avian Chien Leong Vincent Chang
- Teralyn Ga Ling Chang
- Carol James Cookson Chapman
- Catherine Charette
- Charles H. Gardner, PLLC
- Brianna Rae Charles
- Ashley Marie Charloux
- Helen Marie Charpentier
- John L Chase
All providers in Bangor, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.