Stephanie Mellen, FNP
Individual provider Active NPI Family Nurse Practitioner · Lewiston, ME
NPI 1679989222 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1679989222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP141021 (ME)
- Practice address
- 330 Sabattus St Ste B
Lewiston, ME 04240-5553 - Phone
- (207) 755-3160
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814000886 | ME | Practitioner - Nurse Practitioner | 2365669397 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Services, Inc | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Community Clinical Services, Inc. | Current |
Accepting new patients | |
| Grondin Chiropractic, PA, Inc. | Current |
Accepting new patients |
Locations
75 Central Ave
Lewiston, ME 04240
Phone (207) 240-4938
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974
330 Sabattus St
Ste B
Lewiston, ME 04240
Phone (207) 755-3160
156 East Ave
Lewiston, ME 04240
Phone 2077954144 ext. 2310
330 Sabattus St
Lewiston, ME 04240
Phone (207) 777-4300
106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383
1223 US Route 202
Winthrop, ME 04364
Phone (207) 377-9344
Interoperability endpoints
- smellen1153723@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP141021 | ME | Yes |
Addresses
Primary practice location
330 Sabattus St Ste B
Lewiston, ME 04240-5553
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
1223 US-202
winthrop, ME 04364
Phone (207) 377-9344
Other providers in Lewiston, ME
- Danielle Meader
- Medcare LLC
- Medical Care Management, Inc
- Medical Rehabilitation Associates
- Nia Megquier
- James Melloh
- Sarah A Meltzer
- Mercy Care Residential (MCR(
- Anne Melissa Merrick
- Bethany Merrill
All providers in Lewiston, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.