Individual provider Active NPI

Andre R. Nadeau, D.C.

  • Chiropractor
  • Augusta, ME
National Provider Identifier
1689600454
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR834 Issued in ME
Practice address
3 Health Dr
Augusta, ME 04330-0240
Phone
(207) 623-0720
Fax
(207) 623-0724
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR834 ME Primary

Addresses

Primary practice location

3 Health Dr
Augusta, ME 04330-0240

Mailing address

3 Health Dr
Augusta, ME 04330-0240
Phone (207) 623-0720

Other identifiers 6

IdentifierTypeStateIssuer
MNT860OtherMEHARVARD PILGRIM
025889OtherMEANTHEM
010529023OtherMEMEDNET
010529023OtherMECBA/EBPA
204690099MedicaidME
M166600OtherMECIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000794 ME Practitioner - Chiropractic 9032181672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andre Nadeau Chiropractic P.C.Group PAC ID 5496732869, 2 clinicians

Practice addresses (Care Compare)

3 Health Dr
Augusta, ME 04330-0240
Phone (207) 623-0720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andre Nadeau Chiropractic P.C. Chiropractor CurrentSince Nov 2, 2004 Accepting new patients

Locations

2351 N Belfast Ave
Augusta, ME 04330
Phone (207) 623-0720

3 Health Dr
Augusta, ME 04330
Phone (207) 623-0720

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1689600454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEALTH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300240",
            "telephone_number": "207-623-0720",
            "fax_number": "207-623-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HEALTH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300240",
            "telephone_number": "207-623-0720",
            "fax_number": "207-623-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "ANDRE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MNT860",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "025889",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDNET",
            "identifier": "010529023",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA/EBPA",
            "identifier": "010529023",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204690099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M166600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.