Andrea Marie Sewall, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81858 Issued in ME

Practice address

34 Gilman Road
Bangor, ME 04401

Phone

(207) 941-8300

Fax

(207) 947-3134

NPI assigned

Jul 30, 2007

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Miss Andrea Marie Barr Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penobscot Valley HospitalGroup PAC ID 8426942889, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303
• Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.sewall.1@5664.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196

  Corporate Director

  CMS ownership
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150

  Corporate Director

  CMS ownership
• Millinocket Regional Hospital

  dba MRH Family Medicine

  • Rural Health Clinic/Center
  • Millinocket, ME
  • NPI 1366794513

  Corporate Director

  CMS ownership
• Millinocket Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Millinocket, ME
  • NPI 1578677456

  Corporate Director

  CMS ownership
• Millinocket Regional Hospital

  dba MRH Primary Care

  • Rural Health Clinic/Center
  • Millinocket, ME
  • NPI 1720330970

  Corporate Director

  CMS ownership

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.

• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Medicare reassignment Care Compare group NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Ellsworth, ME
  • NPI 1780375220
  Medicare reassignment NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Saco, ME
  • NPI 1114618659
  NPD
• Penobscot Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lincoln, ME
  • NPI 1700805868
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Bangor, ME
  • NPI 1336830868
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Care Compare affiliation
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1992995526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GILMAN ROAD",
            "address_2": "CONCENTRA",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-941-8300",
            "fax_number": "207-947-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GILMAN ROAD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-941-8300",
            "fax_number": "207-947-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013337",
            "country_code": "US",
            "telephone_number": "207-922-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWALL",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81858",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R048968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "200029",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "230301",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432710199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BARR",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison L Settele, MSPA
• Michael Severance, OTR/L
• James Michael Sevey, DMD
• Alexandru Tiberiu Seviciu, MD
• Claudia Seviciu
• Felicia Seymour, CADC
• George Shafranov, M.D.
• Syed Asfand Yar Shah, MD
• Abdul Shaikh, D.M.D.
• Kendall L Shaler, CRNA

• Family Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.