Individual provider Active NPI

Andrea Lynn Gallant

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1962043364
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190082 Issued in ME
Practice address
33 Roger St
Lewiston, ME 04240-3328
Phone
(207) 784-0108
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 F03190082 ME Primary

Addresses

Primary practice location

33 Roger St
Lewiston, ME 04240-3328

Mailing address

33 Roger St
Lewiston, ME 04240-3328
Phone (207) 784-0108

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
I20191204002421 ME Practitioner - Nurse Practitioner 1456784412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

15 Mollison Way
Lewiston, ME 04240-5805
Phone (207) 777-4440

Hospital & facility affiliations

  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03190082MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients

Locations

3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550

3 Willow Run
Rm A
Auburn, ME 04210
Phone (207) 795-6800

330 Sabattus St
Ste B
Lewiston, ME 04240
Phone (207) 755-3160

15 Mollison Way
Rm A
Lewiston, ME 04240
Phone (207) 777-4440

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

15 Mollison Way
Lewiston, ME 04240
Phone (207) 777-4440

1230 Maine St
Rm A
Poland, ME 04274
Phone (207) 998-4483

Interoperability endpoints

  • Direct secure messaging: agallant1287953@direct.bsmhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1962043364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "F03190082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.