MELINDA S MCINNIS (NPI# 1699864504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699864504 |
| Entity Type | Individual |
| Full Name | MELINDA S MCINNIS |
| Other Name | MELINDA S PLUNKETT |
| Credential | FNP |
| Practice Address |
735 Wilson Street Penobscot Community Health Center/ Extended Care Servic Brewer ME 04412 |
| Mailing Address |
Po Box 1599 Penobscot Community Health Center Bangor ME 04402-1599 |
| Practice Telephone | 2079922601 |
| Practice Fax Number | 2079892280 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP081598 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R039098 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432301999 | 05 |
| Street Address |
735 WILSON STREET PENOBSCOT COMMUNITY HEALTH CENTER/ EXTENDED CARE SERVIC |
| City | BREWER |
| State | ME |
| Zip Code | 04412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640799 | Paula Ann Tan | Nurse Practitioner | 735 Wilson Street, Brewer, ME 04412 | 2006-07-15 |
| 1083906622 | Amy A Langley | Registered Nurse | 735 Wilson Street, Brewer, ME 04412-1003 | 2011-05-13 |
| 1821389545 | Atul K Soreng | Family Medicine | 735 Wilson Street, Brewer, ME 04412-1003 | 2011-04-28 |
| 1336467695 | Penobscot Community Health Center | Pharmacy | 735 Wilson Street, Brewer, ME 04412 | 2010-05-12 |
| 1538485214 | Penobscot Community Health Center | Clinic/Center | 735 Wilson Street, Brewer, ME 04412 | 2010-04-20 |
| 1871666115 | Jenny L Phillips-mills | Physician Assistant | 735 Wilson Street, Brewer, ME 04412 | 2006-11-16 |
| 1568554954 | Heather J Bowker | Nurse Practitioner | 735 Wilson Street, Brewer, ME 04412-1003 | 2006-09-29 |
| 1467553842 | Susan Marie Trundy | Social Worker | 735 Wilson Street, Brewer, ME 04412 | 2006-09-26 |
| 1760491294 | Mary E Eyerer | Family Medicine | 735 Wilson Street, Brewer, ME 04412 | 2006-08-05 |
| 1700895265 | Evelyn L Dempsey | Physician Assistant | 735 Wilson Street, Brewer, ME 04412 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460031 | Jeffrey Michael Millett | Nurse Practitioner | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2007-07-31 |
| 1396361440 | Hannah Mae Livingston | Nurse Practitioner | 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 | 2020-06-24 |
| 1154947463 | Ashlee B Stahl | Nurse Practitioner | 329 Wilson St, Brewer, ME 04412-1504 | 2020-06-23 |
| 1922622026 | Jennifer Lynn Gasaway | Nurse Practitioner | 33 Whiting Hill Rd Ste 21, Brewer, ME 04412-1006 | 2020-06-04 |
| 1508206822 | Ellen A Arey | Nurse Practitioner | 33 Whiting Hill Rd, Suite 21, Brewer, ME 04412-1021 | 2013-07-01 |
| 1487999504 | Susan M Steele | Nurse Practitioner | 33 Whiting Hill Rd, Suite 33, Brewer, ME 04412-1021 | 2012-11-29 |
| 1861629990 | Daniel Feltovic | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412-1000 | 2009-06-16 |
| 1518105543 | Jessica C Porter | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412 | 2009-01-29 |
| 1588729834 | Angel K Merchant | Nurse Practitioner | 735 Wilson St, Brewer, ME 04412 | 2006-12-27 |
| 1306880729 | Christine A Nealley | Nurse Practitioner | 329 Wilson St, Brewer, ME 04412-1504 | 2006-06-15 |
| Find all providers in BREWER | ||||
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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.