Individual provider Active NPI

Cynthia Louise Levick, FNP

  • Family Nurse Practitioner
  • Dexter, ME
National Provider Identifier
1851584437
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP091054 Issued in ME
Practice address
29 Church St
Dexter, ME 04930-1320
Phone
(207) 924-5200
NPI assigned
Aug 27, 2007
Last updated
May 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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 AP091054 ME Primary

Addresses

Primary practice location

29 Church St
Dexter, ME 04930-1320

Mailing address

446 Ripley Rd
Saint Albans, ME 04971-7524
Phone (207) 277-3055

Other identifiers 3

IdentifierTypeStateIssuer
434979199MedicaidME
C22673OtherMERAILROAD MEDICARE
001469401OtherMEMEDICARE PTAN

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
I20100304000735 ME Practitioner - Nurse Practitioner 9537240767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP091054MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 1, 2023 Accepting new patients
MRH Corp. Past Accepting new patients
MRH Corp. Past Accepting new patients
Hospital Administrative District 4 Past Accepting new patients
MRH Corp. Past Accepting new patients

Locations

6 City Ctr
Portland, ME 04101

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1851584437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 RIPLEY RD",
            "city": "SAINT ALBANS",
            "state": "ME",
            "postal_code": "049717524",
            "telephone_number": "207-277-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049301320",
            "telephone_number": "207-924-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVICK",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP091054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434979199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C22673",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001469401",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, ME

Sources for this page

Verify at the official NPI Registry.