Mandy Ouellette, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP241819 Issued in ME

Practice address

194 E Main St
Fort Kent, ME 04743-1428

Phone

(207) 834-3101

Fax

(207) 834-2917

NPI assigned

Dec 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Worrell Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/7722ef4c-2455-48ad-a4fa-814cb1ac7718/

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

• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Medicare reassignment Care Compare group NPD
• Northern Maine Medical Center

  dba St John Valley Pharmacy

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1952303422
  NPD
• Northern Maine Medical Center

  dba Behavioral Health Services

  • Rural Health Clinic/Center
  • Fort Kent, ME
  • NPI 1053345546
  NPD (past)
• Northern Maine Medical Center

  • Psychiatric Hospital Unit
  • Fort Kent, ME
  • NPI 1801872759
  NPD (past)

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1770392136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-3101",
            "fax_number": "207-834-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "MANDY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "WORRELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern Pines OT, LLC
• Chidera E Onujiogu
• Ouellette Psychiatry PLLC
• Charles J Ouellette, RPH
• Joey Ouellette
• Mark W. Overton, M.D.
• Savannah Paradis-Hamilton, OTR/L
• Christa Pelletier, O.T.
• Lana M Pelletier, L.C.S.W.
• Lisa E. Pelletier, RNFA

• Psychiatric/Mental Health Nurse Practitioner in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.