Amanda Elwell

Key facts

NPI

1831928779

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

CNP241411 (ME)

Practice address

66 Bramhall St
Portland, ME 04102-3344

Phone

(207) 662-3157

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Mainehealth Psychiatric Hospital · Westbrook, ME · NPI 1790265502
  Medicare reassignment NPD ME
• Mainehealth Community/Retail Pharmacy · Portland, ME · NPI 1013868181
  NPD
• Mainehealth Multi-Specialty Clinic/Center · Brunswick, ME · NPI 1902422561
  NPD

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health and Nursing Services Home Health Agency · Brunswick, ME · NPI 1609923747
  Care Compare affiliation Home health agency
• Mainehealth General Acute Care Hospital · Brunswick, ME · NPI 1932164795
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainehealth (2,616 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Chans Home Health and Hospice Home health agency · Brunswick, ME · CCN 207012
• Mainehealth Mid Coast Hospital Hospital · Brunswick, ME · CCN 200021

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

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aelwell878204@direct.mmc.mainehealth.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1831928779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-837-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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