Individual provider Active NPI

Alessandra Grace Tuttle

  • Family Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1649892571
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP201070 Issued in ME
Practice address
4 Union PLZ Ste 1
Bangor, ME 04401-4881
Phone
(207) 952-8784
Fax
(207) 543-4502
NPI assigned
May 14, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 CNP201070 ME Primary
Registered Nurse 163W00000X 64240 ME

Addresses

Primary practice location

4 Union PLZ Ste 1
Bangor, ME 04401-4881

Mailing address

4 Union PLZ Ste 1
Bangor, ME 04401-4881
Phone (207) 952-8784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 22, 2025 through May 22, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
64240MEMDRegistered Nurse
CNP201070MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apotheosis Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alessandra.tuttle@1087216636461060.direct.elationemr.com

Organizations & group practices 1

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1649892571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 UNION PLZ STE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014881",
            "telephone_number": "207-952-8784",
            "fax_number": "207-543-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 UNION PLZ STE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014881",
            "telephone_number": "207-952-8784",
            "fax_number": "207-543-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "ALESSANDRA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201070",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "64240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.