Individual provider Active NPI

Lawrence E Hallett, CRNA

  • Certified Registered Nurse Anesthetist
  • Millinocket, ME
National Provider Identifier
1982677589
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA83366 Issued in ME
Practice address
200 Somerset St
Millinocket, ME 04462-1258
Phone
(207) 723-5161
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN346971L PA
Certified Registered Nurse Anesthetist 367500000X RNA83366 ME Primary

Addresses

Primary practice location

200 Somerset St
Millinocket, ME 04462-1258

Mailing address

112 Morgan LN
Millinocket, ME 04462-1712
Phone (814) 558-9972

Other practice location 1

360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhallett1462407@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060313000533 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446145759
I20100923000154 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446145759 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millinocket Regional HospitalGroup PAC ID 3779491212, 17 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians

Practice addresses (Care Compare)

200 Somerset St
Millinocket, ME 04462-1258
Phone (207) 723-5161

360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA83366MEMDCertified Registered Nurse Anesthetist
RN346971LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Millinocket Regional Hospital CurrentSince May 25, 2010 Accepting new patients
Millinocket Regional Hospital CurrentSince May 25, 2010 Accepting new patients
Northern Maine Medical Center CurrentSince Jun 10, 2012 Accepting new patients
Northern Maine Medical Center CurrentSince Jun 10, 2012 Accepting new patients
St. Joseph Hospital CurrentSince May 3, 2021 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Charles Cole Memorial D/B/a Upmc Cole Past Accepting new patients
Lexington Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients

Locations

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

165 Poplar St
#2
Millinocket, ME 04462
Phone (207) 723-3003

200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003

Interoperability endpoints

  • Direct secure messaging: lhallett1151759@direct.bsmhealth.org

Organizations & group practices 11

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 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1982677589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MORGAN LN",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621712",
            "telephone_number": "814-558-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013979",
            "country_code": "US",
            "telephone_number": "207-907-1430",
            "fax_number": "207-907-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN346971L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA83366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhallett1462407@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "360 Broadway",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044013979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.