Individual provider Active NPI

Sandra E St. Germain, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1912013616
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP81134 Issued in ME
Practice address
268 Stillwater Avenue
Acadia Hospital Corp.
Bangor, ME 04401
Phone
(207) 973-6100
Fax
(207) 973-6109
NPI assigned
Aug 23, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 016448 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81134 ME Primary

Addresses

Primary practice location

268 Stillwater Avenue
Acadia Hospital Corp.
Bangor, ME 04401

Mailing address

P.O. Box 422
Acadia Hospital Corp.
Bangor, ME 04402-0422
Phone (207) 973-6100

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
I20090330000595 ME Practitioner - Nurse Practitioner 6103884606 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016448MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 23, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Feb 26, 2009 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 18, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 18, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 23, 2023 Accepting new patients
Vna Home Health & Hospice Past Accepting new patients
Sweetser PastSince Mar 12, 2012 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients
Protea Behavioral Health Services Past Accepting new patients
New Life Mission PastSince Aug 18, 2005 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

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

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

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

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1912013616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 422",
            "address_2": "ACADIA HOSPITAL CORP.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020422",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVENUE",
            "address_2": "ACADIA HOSPITAL CORP.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GERMAIN",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "016448",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.