Edward Enos, NP

Individual provider Active NPI Nurse Practitioner · Bridgton, ME

NPI 1801102306 · NPPES record last updated Aug 6, 2012

Key facts

NPI
1801102306
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
AP101052 (ME)
Practice address
10 Hospital Dr
Bridgton, ME 04009-1148
Phone
(207) 647-6000
Fax
(207) 647-6260
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgton Hospital (33 clinicians)
Rumford Hospital (37 clinicians)

Practice addresses (Care Compare)

10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6000

420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000

Hospital & facility affiliations

  • Bridgton Hospital Hospital · Bridgton, ME · CCN 201310

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100 (group)
Quality
66.56
Promoting interoperability
99
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 IDStateProvider typePAC IDDetails
I20101110000319 ME Practitioner - Nurse Practitioner 7618162108 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP101052MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital Current
since Nov 15, 2022
Accepting new patients
Rumford Hospital Current
since Nov 15, 2022
Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP101052 ME Yes

Addresses

Primary practice location

10 Hospital Dr
Bridgton, ME 04009-1148

Mailing address

10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6000

Other providers in Bridgton, ME

All providers in Bridgton, ME · Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.