Warren Benjamin Black
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bangor, ME
NPI 1932502002 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1932502002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP141098 (ME)
- Practice address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - Phone
- (207) 973-6100
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Acadia Hospital Corp.
Central Maine Medical Center
Mainegeneral Medical Center
Rumford Hospital
Sebasticook Valley Health
Eastern Maine Medical Center
The Blue Hill Memorial Hospital
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
420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000
447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.02 of 100
- Quality
- 59.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.25
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 |
|---|---|---|---|---|
| I20141204001752 | ME | Practitioner - Nurse Practitioner | 3678895414 | Reassigns benefits to 17 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| Acadia Hospital Corp | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients | |
| Sebasticook Valley Health | Current |
Accepting new patients | |
| Eastern Maine Healthcare Systems | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| Eastern Maine Medical Center | Current |
Accepting new patients | |
| Sebasticook Valley Health | Current |
Accepting new patients | |
| Charles a Dean Memorial Hospital | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| Mainegeneral Medical Center | Current |
Accepting new patients | |
| MRH Corp. | Current |
Accepting new patients | |
| The Aroostook Medical Center | Current |
Accepting new patients | |
| Rumford Hospital | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| MRH Corp. | Current |
Accepting new patients | |
| Acadia Healthcare, Inc | Current |
Accepting new patients | |
| Bridgton Hospital | Current |
Accepting new patients | |
| Maine Coast Regional Health Facilities | Current |
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
489 State St
Bangor, ME 04401
Phone (207) 973-8837
23 Water St
Ste 203
Bangor, ME 04401
Phone (207) 973-6620
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP141098 | ME | Yes |
Addresses
Primary practice location
268 Stillwater Ave
Bangor, ME 04401-3945
Mailing address
268 Stillwater Ave
P.O. Box 422
Bangor, ME 04401-3945
Phone (207) 973-6100
Other providers in Bangor, ME
- Manoach Bizumuremyi
- BJ'S Wholesale Club Inc.
- Thorarinn Arni Bjarnason
- David Harlan Bjork
- Mary Elizabeth Black
- Tina Marie Blackley
- Hailey E Blackwood
- Royce Blackwood
- Shirley Blake
- Genevieve Blanchard
All providers in Bangor, ME · Psychiatric/Mental Health 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 Oct 3, 2014. 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.