Susan L Butterworth, NP
Individual provider Active NPI Family Nurse Practitioner · Rockport, ME
NPI 1760433619 · NPPES record last updated Jan 2, 2012
Key facts
- NPI
- 1760433619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP111016 (ME)
- Practice address
- 731 Commercial St
Suite 1
Rockport, ME 04856-4254 - Phone
- (207) 701-3900
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
4 Glen Cove Dr
Rockport, ME 04856-4235
Hospital & facility affiliations
- Mainehealth Waldo Hospital
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110614000060 | ME | Practitioner - Nurse Practitioner | 6305730391 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211346 | MA | MD | Family Nurse Practitioner |
| AP111016 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| New England Allergy,Asthma,Immunology and Primary Care P.C. | Past | Accepting new patients |
Locations
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
116 Northport Ave
Ste 218
Belfast, ME 04915
Phone (207) 338-1838
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
731 Commercial St
Ste 1
Rockport, ME 04856
Phone (207) 596-6636
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- sbutterworth10518@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 211346 | MA | |
| Family Nurse Practitioner | 363LF0000X | AP111016 | ME | Yes |
Addresses
Primary practice location
731 Commercial St
Suite 1
Rockport, ME 04856-4254
Mailing address
731 Commercial St
Suite 1
Rockport, ME 04856-4254
Phone (207) 701-3900
Other providers in Rockport, ME
- Kendra L Bryant
- James Patrick Buckley
- Clara B Buescher
- Deanna L Burtchell
- Christine Elaine Buss
- Jordan Caffe
- Caitlin Pieri Counseling LLC
- Jacqueline Marie Caldwell
- Camden Dermatology & Mohs Surgery LLC
- Camden Hills Dental Care LLC
All providers in Rockport, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.