Active NPI
Mari-Anne Rivera, ANPC
- Nurse Practitioner
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP171032
- Practice address
- 992 Union St Ste 5
Bangor, ME 04401-3057 - Phone
- (207) 992-2601
- Fax
- (207) 404-8351
- NPI assigned
- Apr 10, 2007
- Last updated
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP171032 | ME | Primary |
Addresses
Primary practice location
992 Union St Ste 5
Bangor, ME 04401-3057
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP171032 | ME | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| Houlton Regional Hospital | Current | Accepting new patients | |
| GHC LLC | Past | Accepting new patients | |
| West Florida Regional Medical Center | Past | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Past | Accepting new patients | |
| Hallmark Health Medical Associates Inc | Past | Accepting new patients | |
| Maple Grove Nursing Home Inc | Past | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Locations
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
22 Hartford St
Ste 800
Houlton, ME 04730
Phone (207) 532-4068
59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
- Medicare Defined Swing Bed Hospital Unit
- Houlton, ME
- NPI 1013355254
-
dba Madigan Estates
- Nursing Facility/Intermediate Care Facility
- Houlton, ME
- NPI 1871614859
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
dba Memory Disorder Clinic
- Internal Medicine Physician
- Pensacola, FL
- NPI 1174578579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1962625186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 UNION ST STE 5",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013057",
"telephone_number": "207-992-2601",
"fax_number": "207-404-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARI-ANNE",
"credential": "ANPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP171032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
- Justin Ripley
- Fred D Risser, M.D.
- Rite Aid of Maine Inc (Rite Aid Pharmacy 03296)
- Rite Aid of Maine Inc (Rite Aid Pharmacy 03293)
- Susan Riva, FNP
- Kyla Marie Roach, LMSW-CC
- Kayla Robbins
- Ray Arthur Robbins, CADC
- Robert E. Erickson, DMD, PLLC (Erickson's Extraction and Denture Center)
- Robert F Anderson D.P.M.,M.D.,P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.