Jennifer M Beal, MSN
Individual provider Active NPI Family Nurse Practitioner · Milbridge, ME
NPI 1861774580 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1861774580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP111069 (ME)
- Practice address
- 24 School Street
Milbridge, ME 04658 - Phone
- (207) 546-2391
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Maine Coast Regional Health Facilities
Practice addresses (Care Compare)
37 Clinic Rd
Gouldsboro, ME 04607-4013
Phone (207) 963-4066
50 Union St
Ellsworth, ME 04605-1534
Hospital & facility affiliations
- Northern Light Maine Coast Hospital
- Down East Community Hospital
- Northern Light Blue Hill Memorial Hospital
- Northern Light Eastern Maine Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212001285 | ME | Practitioner - Nurse Practitioner | 5092095984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053428 | ME | MD | Registered Nurse |
| AP111069 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| Down East Community Hospital | Past | Accepting new patients |
Locations
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
37 Clinic Rd
Gouldsboro, ME 04607
Phone (207) 664-5304
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP111069 | ME | Yes |
| Registered Nurse | 163W00000X | R053428 | ME |
Addresses
Primary practice location
24 School Street
Milbridge, ME 04658
Mailing address
PO Box 5
Milbridge, ME 04658-0585
Other names
- Jennifer M Murphy
Other providers in Milbridge, ME
- Carl K Aselton
- Back in Motion, PA
- Kayla Anne Beal
- Suzanne Brown
- Cathleen London MD PA
- Ashley Cirone
- Compassionate Hearts Home Care
All providers in Milbridge, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.