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
Hospital & facility affiliations 1
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
Rumford Hospital
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.57 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110000319 | ME | Practitioner - Nurse Practitioner | 7618162108 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP101052 | ME | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Hospital | Current |
Accepting new patients | |
| Rumford Hospital | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 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.