AUDREY PATIN PMHNP
NPI 1063296416
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Q: What is Audrey Patin's NPI number?

The NPI number for Audrey Patin is 1063296416. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Q: What is Audrey Patin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Patin was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment

180 PARK AVE STE 1, PORTLAND, ME 04102(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Audrey Patin Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY PATIN PMHNP (NPI 1063296416) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (CNP231288) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063296416

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAUDREY PATINCredential: PMHNP

Location Address180 PARK AVE STE 1Portland, ME 04102-2927

Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141

Phone(207) 874-2141

Fax(207) 874-2164

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 24, 2023

NPPES CertifiedAugust 24, 2023

✔ NPI 1063296416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · CNP231288

180 PARK AVE STE 1, Portland, ME 04102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Audrey Patin Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537513098

PECOS Enrollment IDI20231002003515

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Audrey Patin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Mary's Regional Medical Center

31 mi

General Acute Care Hospital

93 CAMPUS AVE
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
Medicare enrollment name: St Marys Regional Medical Center
381 clinicians in this Medicare group

NPI 1447226584 (207) 777-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN A. PIANKA M.D.

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