Individual provider Active NPI

Monica Pelletier Schoenbaum, APRN-NP

  • Family Nurse Practitioner
  • Cape Elizabeth, ME
National Provider Identifier
1922685403
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211037 Issued in ME
Practice address
155 Spurwink Ave
Cape Elizabeth, ME 04107-9604
Phone
(207) 767-2174
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 CNP211037 ME Primary

Addresses

Primary practice location

155 Spurwink Ave
Cape Elizabeth, ME 04107-9604

Mailing address

155 Spurwink Ave
Cape Elizabeth, ME 04107-9604

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
I20210630001097 ME Practitioner - Nurse Practitioner 8628479458 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Family CurrentSince Jun 14, 2021 Accepting new patients
Maine Medical Partners CurrentSince Jun 14, 2021 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Family CurrentSince Jun 14, 2021 Accepting new patients
Maine Medical Partners CurrentSince Jun 14, 2021 Accepting new patients
Mainehealth CurrentSince Jun 14, 2021 Accepting new patients
Mainehealth CurrentSince Jun 14, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Jun 14, 2021 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

155 Spurwink Ave
Portland, ME 04107
Phone (207) 767-2174

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: mschoenbaum303265@direct.mmc.mainehealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1922685403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SPURWINK AVE",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041079604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SPURWINK AVE",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041079604",
            "telephone_number": "207-767-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBAUM",
        "first_name": "MONICA",
        "middle_name": "PELLETIER",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

Verify at the official NPI Registry.