Active NPI
Cheryl-Sue Olmstead, NP
- Women's Health Nurse Practitioner
- Caribou, ME
National Provider Identifier
1972586410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R029814
- Practice address
- 163 Van Buren Rd
Caribou, ME 04736-3567 - Phone
- (207) 498-6921
- Fax
- (207) 498-1697
- NPI assigned
- Nov 29, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R029814 | ME | Primary |
Addresses
Primary practice location
163 Van Buren Rd
Caribou, ME 04736-3567
Mailing address
PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2359
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2815210 | Other | ME | AETNA-HMO |
| 040650 | Other | ME | ANTHEM |
| 7008224 | Other | ME | AETNA-NHMO |
| 257630099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R029814 | ME | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pines Health Services | Past | Accepting new patients |
Organizations & group practices 1
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)
- Washburn, ME
- NPI 1922449834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1972586410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047360040",
"telephone_number": "207-498-2359",
"fax_number": "207-498-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VAN BUREN RD",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363567",
"telephone_number": "207-498-6921",
"fax_number": "207-498-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTEAD",
"first_name": "CHERYL-SUE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ME",
"license": "R029814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "2815210",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "040650",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-NHMO",
"identifier": "7008224",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257630099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.