Individual provider Active NPI

Donna R Huff, PMHNP-BC, PMHCNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsfield, ME
National Provider Identifier
1679669063
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP81071 Issued in ME
Practice address
470 Somerset Ave
Pittsfield, ME 04967-4928
Phone
(207) 487-5154
Fax
(207) 487-3158
NPI assigned
Oct 5, 2006
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81071 ME Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS84143 ME

Addresses

Primary practice location

470 Somerset Ave
Pittsfield, ME 04967-4928

Mailing address

470 Somerset Ave
Pittsfield, ME 04967-4928
Phone (207) 487-5154

Other identifiers 2

IdentifierTypeStateIssuer
104000000MedicaidME
432022399MedicaidME

Other names 1

  • Ms. Donna R. Kezer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000568 ME Practitioner - Nurse Practitioner 1658399886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians

Practice addresses (Care Compare)

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNS84143MEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Valley Health CurrentSince Aug 25, 2014 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 25, 2014 Accepting new patients
Sebasticook Valley Health Past Accepting new patients
Mid-Coast Mental Health Center Past Accepting new patients
Mainegeneral Health Past Accepting new patients

Locations

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

470 Somerset Ave
Pittsfield, ME 04967
Phone (207) 487-3884

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1679669063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SOMERSET AVE",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674928",
            "telephone_number": "207-487-5154",
            "fax_number": "207-487-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SOMERSET AVE",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674928",
            "telephone_number": "207-487-5154",
            "fax_number": "207-487-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "DONNA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81071",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "CNS84143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104000000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432022399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "KEZER",
            "middle_name": "R.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsfield, ME

Sources for this page

Verify at the official NPI Registry.