Active NPI
Diana Vandermast, FNP
- Family Nurse Practitioner
- Sangerville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R048203
- Practice address
- 22 Haley CT
Sangerville, ME 04479-3000 - Phone
- (207) 876-4811
- Fax
- (207) 695-2329
- NPI assigned
- May 15, 2006
- Last updated
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R048203 | ME | Primary |
Addresses
Primary practice location
22 Haley CT
Sangerville, ME 04479-3000
Mailing address
PO Box 1129
Greenville, ME 04441-1129
Phone (207) 695-5215
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432355199 | Medicaid | ME | |
| P00796680 | Other | ME | TRAVELERS MEDICARE |
| 434805099 | Medicaid | ME |
Other names 1
- Diana M Hayden
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43 Dwelley Ave
Dover Foxcroft, ME 04426-1005
Phone (207) 564-8300
891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1060
Phone (207) 564-4464
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048203 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRH Corp. | Current | Accepting new patients | |
| MRH Corp. | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
Organizations & group practices 5
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.
-
dba Northern Light C A Dean Hospital
- Critical Access Hospital
- Greenville, ME
- NPI 1659388213
-
dba Northern Light Mayo Hospital
- Medicare Defined Swing Bed Hospital Unit
- Dover Foxcroft, ME
- NPI 1548463623
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
dba Northern Light Primary Care Dover-Foxcroft
- Family Medicine Physician
- Dover Foxcroft, ME
- NPI 1548382328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1669423349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1129",
"city": "GREENVILLE",
"state": "ME",
"postal_code": "044411129",
"telephone_number": "207-695-5215",
"fax_number": "207-695-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HALEY CT",
"city": "SANGERVILLE",
"state": "ME",
"postal_code": "044793000",
"telephone_number": "207-876-4811",
"fax_number": "207-695-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMAST",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "R048203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432355199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "P00796680",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "434805099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "HAYDEN",
"middle_name": "M",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sangerville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.