Individual provider Active NPI

Brandi Quirk, FNP-C

  • Family Nurse Practitioner
  • Hampden, ME
National Provider Identifier
1861076788
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211201 Issued in ME
Practice address
7 Main Rd N
Hampden, ME 04444-1334
Phone
(207) 862-9400
Fax
(207) 862-9411
NPI assigned
May 6, 2021
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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 CNP211201 ME Primary

Addresses

Primary practice location

7 Main Rd N
Hampden, ME 04444-1334

Mailing address

PO Box 694
Hampden, ME 04444-0694
Phone (207) 862-9400

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
I20210604000240 ME Practitioner - Nurse Practitioner 1951700376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

1 Northeast Dr
Northern Light Cardiology
Bangor, ME 04401-4332
Phone (207) 275-3800

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

7 Main Rd N
Northern Light Primary
Hampden, ME 04444-1334
Phone (207) 862-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP211201MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Jun 13, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 13, 2021 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

7 Main Rd N
Hampden, ME 04444
Phone (207) 862-4900

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1861076788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440694",
            "telephone_number": "207-862-9400",
            "fax_number": "207-862-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAIN RD N",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441334",
            "telephone_number": "207-862-9400",
            "fax_number": "207-862-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "BRANDI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

Verify at the official NPI Registry.