Active NPI
Michelle D Fitzgerald, FNP
- Family Nurse Practitioner
- Waterville, ME
National Provider Identifier
1861469736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81416
- Practice address
- 149 North St
Mgha Hospitalist Program-WTVL
Waterville, ME 04901 - Phone
- (207) 872-1000
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81416 | ME | Primary |
Addresses
Primary practice location
149 North St
Mgha Hospitalist Program-WTVL
Waterville, ME 04901
Mailing address
149 North St
Mgha Hospitalist Program-WTVL
Waterville, ME 04901
Phone (207) 872-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240130099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81416 | ME | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1861469736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 NORTH ST",
"address_2": "MGHA HOSPITALIST PROGRAM-WTVL",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-872-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 NORTH ST",
"address_2": "MGHA HOSPITALIST PROGRAM-WTVL",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-872-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "MICHELLE",
"middle_name": "D",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240130099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.