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

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.

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 (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

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 IDStateProvider typePAC IDDetails
I20090416000163 ME Practitioner - Nurse Practitioner 9739089855 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CNP81160MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Healthcare, LLC Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Other providers in Bangor, ME

All providers in Bangor, ME · Psychiatric/Mental Health Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.