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LARRY CLIFFORD SEXTON PMHNP-BC
NPI 1396849980
Nurse Practitioner - Psychiatric/Mental Health in Augusta, ME

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
841 RIVERSIDE DR., AUGUSTA, ME 04330(207) 213-4616(207) 213-4727 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Clifford Sexton Pmhnp-bc NPPES

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

LARRY CLIFFORD SEXTON PMHNP-BC (NPI 1396849980) is an individual psychiatric/mental health provider in Augusta, Maine, licensed in Maine (AP101014) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Redington Fairview General Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396849980
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLARRY CLIFFORD SEXTONCredential: PMHNP-BC
Location Address841 RIVERSIDE DR.Augusta, ME 04330
Mailing AddressPo Box 157Nobleboro, ME 04555 · (207) 453-4708 · Fax (207) 453-6250
Phone(207) 213-4616
Fax(207) 213-4727
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 12, 2006
Last NPPES UpdateDecember 4, 2012
✔ NPI 1396849980 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
Licenses✔ Licensed in ME · AP101014✔ Licensed in ME · R049009
841 RIVERSIDE DR., Augusta, ME 04330
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Other Identifiers 1

Medicaid432079799ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Clifford Sexton Pmhnp-bc 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 ID5294866802
PECOS Enrollment IDI20100625000643
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
298 services28 patients

Hospital Affiliations CMS Care Compare

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

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Sexton's NPI number?

The NPI number for Larry Sexton is 1396849980. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Larry Sexton located?

Larry Sexton practices at 841 Riverside Dr., Augusta, ME 04330. The listed phone number is (207) 213-4616.

What is Larry Sexton's specialty?

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

Is Larry Sexton enrolled in Medicare?

Yes. Larry Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Larry Sexton accept?

Health plans from Harvard Pilgrim Health Care list Larry Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Larry Sexton affiliated with any hospitals?

According to CMS data, Larry Sexton is affiliated with Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Larry Sexton was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.