Amy West (NPI# 1487988242, PAC ID# 9830411495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487988242 |
| PAC ID by PECOS | 9830411495 |
| Professional Enrollment ID | I20161213001306 |
| Full Name | Amy West |
| Organization Legal Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Address |
242 Brunswick St Old Town ME 04468-1613 |
| Phone Number | 2078276128 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143212670 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 242 Brunswick St, Old Town, ME 04468-1613 | 2078276128 | PENOBSCOT COMMUNITY HEALTH CENTER |
| Organization Legal Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Physicians | 146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitzi L Wright | Nurse Practitioner | Penobscot Community Health Center | 1012 Union St, Suite 3, Bangor, ME 04401-3058 |
| Maegan L. Woodman | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Benjamin Smith | Nurse Practitioner | Penobscot Community Health Center | 6 Telcom Dr, Bangor, ME 04401-3072 |
| Pauline P Irwin Beck | Nurse Practitioner | Penobscot Community Health Center | 53 Schoodic Dr, Belfast, ME 04915-7246 |
| Nicole Smith-sandilands | Family Medicine | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Adrienne Carmack | Pediatric Medicine | Penobscot Community Health Center | 1068 Union St, Bangor, ME 04401-3016 |
| Kenneth G Nadeau | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Laurie E Yntema | Internal Medicine | Penobscot Community Health Center | 9 Alumni Dr, Orono, ME 04473-3479 |
| Lisa A Buck | Family Medicine | Penobscot Community Health Center | 181 Corporate Dr, Bangor, ME 04401-4314 |
| Noah Nesin | Family Medicine | Penobscot Community Health Center | 86 Davis Rd, Bangor, ME 04401-2311 |
| Street Address |
242 BRUNSWICK ST |
| City | OLD TOWN |
| State | ME |
| Zip | 04468-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Smith-sandilands | Family Medicine | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Destiny R Reynolds | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Rachel Laura Kinney | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Christopher M Buck | Family Medicine | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Justin J Cloukey | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Yannick N. Nkeng | Physician Assistant | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Todd D Obrien | Podiatry | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Stanley O Pettegrow | Clinical Social Worker | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Matthew J Nutt | Clinical Social Worker | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Lorraine L Lick | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Anne La Grange | Chiropractic | Riversedge Chiropractic Wellness Center LLC | 227 Main St, Old Town, ME 04468-1470 |
| Antony K Angus | Chiropractic | Riversedge Chiropractic Wellness Center LLC | 227 Main St, Old Town, ME 04468-1470 |
| Gwyneth Mattingly | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Jakub M Tomczyk | Family Practice | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Kimberly Ann Yartklang | Nurse Practitioner | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Margaret A Capehart | Physical Therapy | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Randy K Cyr Jr. | Physical Therapy | Fit Physical Therapy and Consulting Services LLC | 11 Hamel Ln, Old Town, ME 04468-1949 |
| Ashley Gott Haase | Physical Therapy | Fit Physical Therapy and Consulting Services LLC | 11 Hamel Ln, Old Town, ME 04468-1949 |
| John E Gaetani | Optometry | Gaetani Eye Care Associates, Pa | 614 Stillwater Ave, Old Town, ME 04468-2120 |
| Anne M Hall | Optometry | Gaetani Eye Care Associates, Pa | 614 Stillwater Ave, Old Town, ME 04468-2120 |
| Find all physicians in zip 04468 | |||
| City | OLD TOWN |
| Zip Code | 04468 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLD TOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy West.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.