Individual provider Active NPI

David C Thayer, FNPC

  • Family Nurse Practitioner
  • Winterport, ME
National Provider Identifier
1871687939
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP161174 Issued in ME
Practice address
775 N Main St
Winterport, ME 04496-3414
Phone
(207) 223-0965
Fax
(207) 223-0975
NPI assigned
Oct 3, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 CNP161174 ME Primary

Addresses

Primary practice location

775 N Main St
Winterport, ME 04496-3414

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200

Other practice location 1

22 Pleasant St
Mechanic Falls, ME 04256-6108
Phone (207) 345-9729

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
I20170109002954 ME Practitioner - Nurse Practitioner 2769763572 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 17, 2016 Accepting new patients
Alignmed Medical Group, PC CurrentSince Mar 1, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC Family CurrentSince Mar 1, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Nov 17, 2016 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 1, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 1, 2025 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573

3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

22 Pleasant St
Mechanic Fls, ME 04256
Phone (207) 241-9832

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1871687939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N MAIN ST",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "044963414",
            "telephone_number": "207-223-0965",
            "fax_number": "207-223-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Mechanic Falls",
            "state": "ME",
            "postal_code": "042566108",
            "country_code": "US",
            "telephone_number": "207-345-9729",
            "fax_number": "207-345-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterport, ME

Sources for this page

Verify at the official NPI Registry.