ANNIE J SOUL FNP
NPI 1679430425
Nurse Practitioner - Family in Lewiston, ME
About Annie J Soul Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE J SOUL FNP (NPI 1679430425) is an individual family provider in Lewiston, Maine, licensed in Maine (CNP251849) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annie J Soul Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annie Soul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LEWISTON, ME 04240
LEWISTON, ME 04240
LEWISTON, ME 04240
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 Annie Soul's NPI number?
The NPI number for Annie Soul is 1679430425. It was assigned to this individual provider in the NPPES registry on January 5, 2026.
Where is Annie Soul located?
Annie Soul practices at 93 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 777-8100.
What is Annie Soul's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Annie Soul enrolled in Medicare?
Yes. Annie Soul is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annie Soul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Soul reassigns Medicare benefits to St. Mary's Regional Medical Center (Lewiston, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annie Soul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Annie Soul was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Annie J Soul, FNP · NPI 1679430425
Family physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since January 5, 2026.
## Identity
- **NPI:** 1679430425 (Entity type: Individual)
- **Enumerated:** January 5, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP251849 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 93 CAMPUS AVE, Lewiston, ME 04240-6030
- **Phone:** (207) 777-8100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679430425) · Data from the CMS NPPES public registry.