Active NPI
Stephanie D Cole, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Brewer, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP211116
- Practice address
- 735 Wilson St
Brewer, ME 04412-1000 - Phone
- (207) 989-1567
- Fax
- (207) 989-2286
- NPI assigned
- Sep 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | AM092004 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP211116 | ME | Primary |
Addresses
Primary practice location
735 Wilson St
Brewer, ME 04412-1000
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 706-3280
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1012 Union St
Bangor, ME 04401-3058
1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181
735 Wilson St
Brewer, ME 04412-1000
Phone (207) 989-1567
992 Union St
Bangor, ME 04401-3057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AM092004 | ME | MD | Midwife |
| CNP211116 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Locations
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
735 Wilson St
Brewer, ME 04412
Phone (207) 989-1567
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1427169010
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
-
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1083259410
-
- Clinical Medical Laboratory
- Bangor, ME
- NPI 1659464584
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1962736041",
"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": "735 WILSON ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044121000",
"telephone_number": "207-989-1567",
"fax_number": "207-989-2286"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-706-3280",
"fax_number": "207-810-2407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "STEPHANIE",
"middle_name": "D",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ME",
"license": "AM092004",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP211116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.