Individual provider Active NPI

Joanne Marie Moesswilde, FNP

  • Family Nurse Practitioner
  • Belfast, ME
National Provider Identifier
1699852350
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP81394 Issued in ME
Practice address
116 Northport Ave
Suite 212
Belfast, ME 04915-6095
Phone
(207) 930-6708
Fax
(207) 930-6709
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP81394 ME Primary
Family Nurse Practitioner 363LF0000X R034891 ME

Addresses

Primary practice location

116 Northport Ave
Suite 212
Belfast, ME 04915-6095

Mailing address

116 Northport Ave
Suite 212
Belfast, ME 04915-6095
Phone (207) 930-6708

Other identifiers 1

IdentifierTypeStateIssuer
040698OtherMEANTHEM BC/BS

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
I20060123000735 ME Practitioner - Nurse Practitioner 6406870922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

119 Northport Ave FL
1 WCMP Primary Care
Belfast, ME 04915-6069
Phone (207) 930-6708

22 Bramhall St
Portland, ME 04102-3134

Hospital & facility affiliations

  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth Family CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth CurrentSince Apr 1, 2014 Accepting new patients
Oceanside Medical,PA Past Accepting new patients
Waldo County General Hospital Past Accepting new patients

Locations

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

116 Northport Ave
Ste 212
Belfast, ME 04915
Phone (207) 338-9968

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: jmoesswilde101165@direct.mmc.mainehealth.org

Organizations & group practices 6

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1699852350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE",
            "address_2": "SUITE 212",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156095",
            "telephone_number": "207-930-6708",
            "fax_number": "207-930-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE",
            "address_2": "SUITE 212",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156095",
            "telephone_number": "207-930-6708",
            "fax_number": "207-930-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESSWILDE",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81394",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R034891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "040698",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.