Active NPI
Nicole Anne Wooley Carter, AGAC NP-BC
- Nurse Practitioner
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP241212
- Practice address
- Webber Medical Building
East, 417 State St Suite 121
Bangor, ME 04401 - Phone
- (207) 973-4266
- NPI assigned
- May 17, 2024
- Last updated
- Jun 4, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | CNP241212 | ME | |
| Nurse Practitioner | 363L00000X | CNP241212 | ME | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | CNP241212 | ME | |
| Acute Care Nurse Practitioner | 363LA2100X | CNP241212 | ME |
Addresses
Primary practice location
Webber Medical Building
East, 417 State St Suite 121
Bangor, ME 04401
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412-1005
Phone (207) 973-5000
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141
417 State St
Bangor, ME 04401-6630
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
55 Broadway
Suite 2
Bangor, ME 04401-5201
Phone (207) 947-0469
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP241212 | ME | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
417 State St
Ste 121
Bangor, ME 04401
Phone (207) 947-0147
489 State St
Bangor, ME 04401
Phone (207) 973-8837
43 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-5000
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1972352201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL RD",
"city": "BREWER",
"state": "ME",
"postal_code": "044121005",
"telephone_number": "207-973-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WEBBER MEDICAL BUILDING",
"address_2": "EAST, 417 STATE ST SUITE 121",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "NICOLE",
"middle_name": "ANNE WOOLEY",
"credential": "AGAC NP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-17",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "ME",
"license": "CNP241212",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP241212",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ME",
"license": "CNP241212",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "ME",
"license": "CNP241212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.