Active NPI
Jeffrey A Osborne, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bangor, ME
National Provider Identifier
1982958534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP241564
- Practice address
- 61 State St Ste 79
Bangor, ME 04401-5038 - Phone
- (513) 600-7749
- Fax
- (207) 579-8425
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP241564 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP241564 | ME | Primary |
Addresses
Primary practice location
61 State St Ste 79
Bangor, ME 04401-5038
Mailing address
1025 Kenduskeag Ave
Bangor, ME 04401-2928
Phone (513) 600-7749
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP241564 | ME | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1982958534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 KENDUSKEAG AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012928",
"telephone_number": "513-600-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 STATE ST STE 79",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015038",
"telephone_number": "513-600-7749",
"fax_number": "207-579-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP241564",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP241564",
"primary": true
}
],
"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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.