Robert Peck
Individual provider Active NPI Certified Registered Nurse Anesthetist · Orrington, ME
NPI 1669839833 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1669839833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RNA163030 (ME)
- Practice address
- 365 Dow Rd
Orrington, ME 04474-3540 - Phone
- (207) 852-5545
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sebasticook Valley Health
Eastern Maine Medical Center
Maine Coast Regional Health Facilities
Practice addresses (Care Compare)
447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5304
Hospital & facility affiliations
- Northern Light Maine Coast Hospital
- Northern Light Eastern Maine Medical Center
- Northern Light Sebasticook Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 71.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.7 of 100
- Quality
- 74.14
- Promoting interoperability
- 95
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.98 of 100
- Quality
- 74.88
- Promoting interoperability
- 96
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116001737 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3577842426 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebasticook Valley Health | Current |
Accepting new patients | |
| Penobscot Valley Hospital | Current |
Accepting new patients | |
| Eastern Maine Medical Center | Current |
Accepting new patients | |
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| MRH Corp. | Current |
Accepting new patients | |
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| Penobscot Valley Hospital | Current |
Accepting new patients | |
| MRH Corp. | Current |
Accepting new patients | |
| Eastern Maine Medical Center | Current |
Accepting new patients | |
| Sebasticook Valley Health | Current |
Accepting new patients |
Locations
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
489 State St
Bangor, ME 04401
Phone (207) 973-8837
931 Union St
Fl 3
Bangor, ME 04401
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | RNA163030 | ME | Yes |
Addresses
Primary practice location
365 Dow Rd
Orrington, ME 04474-3540
Mailing address
365 Dow Rd
Orrington, ME 04474-3540
Other providers in Orrington, ME
- Mary Lander
- Michelle Nicole Mettler
- Northwoods Counseling Services
- Orland Consolidated School
- Roland James Paulette
- Lateicia Theresa Pendergast
- Sara P Powell
- Jennifer Beth Galvin Salisbury
- Arthur E Schwarcz
- Marley Smith-Lees
All providers in Orrington, ME · Certified Registered Nurse Anesthetist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. 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.
- 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.