VERA J KOMISARJEVSKY (NPI# 1194714568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194714568 |
| Entity Type | Individual |
| Full Name | VERA J KOMISARJEVSKY |
| Credential | ACNP |
| Practice Address |
93 Campus Ave Lewiston ME 04240-6030 |
| Mailing Address |
Po Box 291 Lewiston ME 04243-0291 |
| Practice Telephone | 2077778120 |
| Practice Fax Number | 2077778984 |
| Mailing Telephone | 2077774111 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP101040 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
93 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725465 | Ronald M. Reilly | Emergency Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2005-07-28 |
| 1538778972 | Alyssa K Rouleau | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2020-07-30 |
| 1356802540 | Phyllis Wolf Wilkins | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-03-29 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1942789482 | Hospitalist Medicine Physicians of Maine -tcg, Pllc | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2018-08-07 |
| 1942722723 | Valerie Denison Porcello | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2017-07-12 |
| 1487005088 | Jessica E Newcomb | Nurse Anesthetist, Certified Registered | 93 Campus Ave, Lewiston, ME 04240 | 2016-06-24 |
| 1700236742 | Andrea Michele Carr | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-06-21 |
| 1710343777 | Patricia Rand | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-01-06 |
| 1558731034 | Janice M Oliveira | Nurse Anesthetist, Certified Registered | 93 Campus Ave, St Mary's Anesthesia Associates,p.a., Lewiston, ME 04240-6030 | 2015-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685235 | Mark Mitchell Roubidoux II | Nurse Practitioner | 201 18th Ave, Lewiston, ID 83501-2768 | 2020-09-28 |
| 1700359544 | Marcello Romeo | Nurse Practitioner | 300 Main St, Lewiston, ME 04240-7027 | 2019-01-04 |
| 1710343777 | Patricia Rand | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-01-06 |
| 1619241908 | Scott Andrew Smith | Nurse Practitioner | 300 Main St, Lewiston, ME 04240-7027 | 2012-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791464 | Margaret Marlette Hamilton | Nurse Practitioner | 121 Medical Center Dr Ste 2550, Brunswick, ME 04011-2681 | 2019-10-10 |
| 1043786551 | Lindsey Forleo | Nurse Practitioner | 22 Bramhall St Rm 4670, Portland, ME 04102-3134 | 2018-10-23 |
| 1346618394 | Clarissa Michalak | Nurse Practitioner | 31 Shady Run Ln, Cumberland, ME 04021-3818 | 2015-09-08 |
| 1265816961 | Jill Ann Vaughn | Nurse Practitioner | Husson University Wellness Center, 1 College Circle, Bangor, ME 04401 | 2015-07-13 |
| 1407455793 | Stephen John Cihocki | Nurse Practitioner | 1600b Congress St, Portland, ME 04102 | 2020-10-19 |
| 1457850968 | Jenee R Wechsler | Nurse Practitioner | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2018-02-10 |
| 1821503129 | Clancy Erickson | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-12-08 |
| 1932610599 | Andrea Wyman | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2017-10-22 |
| 1750800512 | Elizabeth Claire Scott | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-09-13 |
| 1467973693 | Caroline Beaule | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-06-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.