Stephanie Mellen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP141021 Issued in ME

Practice address

330 Sabattus St Ste B
Lewiston, ME 04240-5553

Phone

(207) 755-3160

NPI assigned

Jul 3, 2014

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smellen1153723@direct.bsmhealth.org

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.

• Community Clinical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ME
  • NPI 1164477568
  Medicare reassignment NPD
• Grondin Chiropractic, PA, Inc.

  dba Shepherd Chiropractic Center

  • Chiropractor
  • Winthrop, ME
  • NPI 1881938769
  Medicare reassignment NPD
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Medicare reassignment
• Community Clinical Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ME
  • NPI 1629851761
  NPD
• St. Mary's Regional Medical Center

  dba St. Mary's Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, ME
  • NPI 1407242522
  NPD

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1679989222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SABATTUS ST STE B",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405553",
            "telephone_number": "207-755-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 US-202",
            "address_purpose": "LOCATION",
            "city": "winthrop",
            "state": "ME",
            "postal_code": "04364",
            "country_code": "US",
            "telephone_number": "207-377-9344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP141021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Meader, PA-C
• Medcare LLC
• Medical Care Management, Inc (Russell Park Manor)
• Medical Rehabilitation Associates
• Nia Megquier, DC FIAMA
• James Melloh
• Sarah A Meltzer, LSWC
• Rhett Benjamin Moss Mercury, LMSW-CC
• Mercy Care Residential (MCR(
• Anne Melissa Merrick, DO

• Family Nurse Practitioner in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.