Individual provider Active NPI

Nicholas Farrey, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Augusta, ME
National Provider Identifier
1801084900
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP241113 Issued in ME
Practice address
11 Caldwell Rd
Augusta, ME 04330-5739
Phone
(207) 873-2136
Fax
(207) 660-4529
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP2770 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP241113 ME Primary

Addresses

Primary practice location

11 Caldwell Rd
Augusta, ME 04330-5739

Mailing address

67 Eustis Pkwy
Waterville, ME 04901-5173
Phone (207) 873-2136

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
I20240423002382 ME Practitioner - Nurse Practitioner 5193899698 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Aperture Health Enrichment LLC Psychiatric/Mental Health Current Accepting new patients
Kennebec Valley Mental Health Center CurrentSince Jul 29, 2024 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Strategies for Success Consulting, PC PastSince Aug 30, 2020 Accepting new patients

Locations

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

11 Caldwell Rd
Augusta, ME 04330
Phone (207) 623-7710

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1801084900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 EUSTIS PKWY",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015173",
            "telephone_number": "207-873-2136",
            "fax_number": "207-660-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305739",
            "telephone_number": "207-873-2136",
            "fax_number": "207-660-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARREY",
        "first_name": "NICHOLAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.