Individual provider Active NPI

Justin Morgan Fox, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Skowhegan, ME
National Provider Identifier
1932944998
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP241363 Issued in ME
Practice address
5 Commerce Dr
Skowhegan, ME 04976-4823
Phone
(207) 855-3675
NPI assigned
Jul 1, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP241363 ME Primary

Addresses

Primary practice location

5 Commerce Dr
Skowhegan, ME 04976-4823

Mailing address

5 Commerce Dr
Skowhegan, ME 04976-4823
Phone (207) 855-3675

Other practice location 1

46 Fairview Ave Ste 334
Skowhegan, ME 04976-1481
Phone (207) 474-6201

Other practice location 2

62 Main St
Skowhegan, ME 04976-1198
Phone (207) 858-4844

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
I20240806001810 ME Practitioner - Nurse Practitioner 7719424902 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennebec Valley Mental Health CenterGroup PAC ID 7113829383, 68 clinicians
Anglez Behavioral Health Services PAGroup PAC ID 3173765849, 7 clinicians

Practice addresses (Care Compare)

5 Commerce Dr
Skowhegan, ME 04976-4823
Phone (207) 474-8368

841 Riverside Dr
Augusta, ME 04330-8302
Phone (844) 294-5306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Sep 3, 2024 Accepting new patients
Anglez Behavioral Health Services PA CurrentSince Aug 1, 2024 Accepting new patients
Kennebec Valley Mental Health Center CurrentSince Jun 28, 2024 Accepting new patients
Redington-Fairview General Hospital CurrentSince Sep 3, 2024 Accepting new patients

Locations

11 Caldwell Rd
Augusta, ME 04330
Phone (207) 623-7710

841 Riverside Dr
Augusta, ME 04330
Phone (844) 294-5306

115 Mt Blue Cir
Farmington, ME 04938
Phone (207) 778-9664

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

46 Fairview Ave
Ste 113
Skowhegan, ME 04976
Phone (207) 474-3697

46 Fairview Ave
Ste 334
Skowhegan, ME 04976
Phone (207) 474-3320

5 Commerce Dr
Skowhegan, ME 04976
Phone (207) 474-8311

62 Main St
Skowhegan, ME 04976
Phone (207) 858-4844

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

736 Old Lewiston Rd
Winthrop, ME 04364
Phone (207) 377-4121

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1932944998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COMMERCE DR",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764823",
            "telephone_number": "207-855-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COMMERCE DR",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764823",
            "telephone_number": "207-855-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Fairview Ave Ste 334",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761481",
            "country_code": "US",
            "telephone_number": "207-474-6201",
            "fax_number": "207-474-0969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Main St",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761198",
            "country_code": "US",
            "telephone_number": "207-858-4844",
            "fax_number": "207-858-0348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "JUSTIN",
        "middle_name": "MORGAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.