Individual provider Active NPI

Chester Josiah Richardson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norway, ME
National Provider Identifier
1740058874
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP231412 Issued in ME
Practice address
193 Main St Ste 14
Norway, ME 04268-5647
Phone
(207) 294-7096
Fax
(207) 393-3470
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP231412 ME Primary

Addresses

Primary practice location

193 Main St Ste 14
Norway, ME 04268-5647

Mailing address

32 Woodlawn Ave
Portland, ME 04103-3510
Phone (207) 249-9747

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
I20240221002909 ME Practitioner - Nurse Practitioner 4789028481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Feb 20, 2025 Accepting new patients
Mercy Hospital CurrentSince Feb 20, 2025 Accepting new patients
Mercy Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 22, 2024 Accepting new patients
Mainehealth CurrentSince Jan 22, 2024 Accepting new patients

Locations

193 Main St
Ste 14
Norway, ME 04268
Phone (207) 294-7096

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

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

409 Roosevelt Trl
Windham, ME 04062
Phone (207) 400-8600

Interoperability endpoints

  • Direct secure messaging: crichardson100137@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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1740058874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOODLAWN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033510",
            "telephone_number": "207-249-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST STE 14",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685647",
            "telephone_number": "207-294-7096",
            "fax_number": "207-393-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHESTER",
        "middle_name": "JOSIAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP231412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

Verify at the official NPI Registry.