Individual provider Active NPI

Breanna Beth Conners, APRN

  • Family Nurse Practitioner
  • Pittsfield, ME
National Provider Identifier
1831934306
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP241349 Issued in ME
Practice address
470 Somerset Ave
Pittsfield, ME 04967-4928
Phone
(207) 487-5154
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP241349 ME Primary

Addresses

Primary practice location

470 Somerset Ave
Pittsfield, ME 04967-4928

Mailing address

23 Vaughn St
Madison, ME 04950-1318
Phone (207) 512-0292

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
I20240914000023 ME Practitioner - Nurse Practitioner 7416497698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians

Practice addresses (Care Compare)

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

Hospital & facility affiliations

  • Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP241349MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Valley Health CurrentSince Aug 4, 2024 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 4, 2024 Accepting new patients
Sebasticook Valley Health Past Accepting new patients

Locations

8 Main St
Ste A
Newport, ME 04953
Phone (207) 368-4292

8 Main St
Newport, ME 04953
Phone (207) 368-4292

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

470 Somerset Ave
Pittsfield, ME 04967
Phone (207) 487-3884

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1831934306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 VAUGHN ST",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049501318",
            "telephone_number": "207-512-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SOMERSET AVE",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674928",
            "telephone_number": "207-487-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "BREANNA",
        "middle_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, ME

Sources for this page

Verify at the official NPI Registry.