Individual provider Active NPI

Alyssa McDonough, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1689465031
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP251189 Issued in ME
Practice address
15 Strawberry Ave
Lewiston, ME 04240-5941
Phone
(207) 777-7744
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CNP251189 ME Primary

Addresses

Primary practice location

15 Strawberry Ave
Lewiston, ME 04240-5941

Mailing address

10 Contant Dr
Gray, ME 04039-7540

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
I20250623000141 ME Practitioner - Nurse Practitioner 6507378072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone (207) 777-7740

Hospital & facility affiliations

  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP251189MEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc CurrentSince May 21, 2025 Accepting new patients
Androscoggin Home Health Services, Inc. CurrentSince May 21, 2025 Accepting new patients

Locations

236 Stetson Rd
Auburn, ME 04210
Phone (207) 333-6300

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 458-3759

180 Main St
Ste 4
Waterville, ME 04901
Phone (207) 872-5300

284 Main St
Ste 390
Wilton, ME 04294
Phone (207) 645-5304

Interoperability endpoints

  • Direct secure messaging: amcdonough3116260@direct.bsmhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1689465031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONTANT DR",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-777-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "ALYSSA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP251189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.