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MICHELLE HOPKINS CARNES ANP
NPI 1689648487
Nurse Practitioner - Adult Health in Portland, ME

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
887 CONGRESS ST STE 400, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Dec 20, 2019, Jan 9, 2018 and 1 more (4 updates tracked since 2016).

About Michelle Hopkins Carnes Anp NPPES

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

MICHELLE HOPKINS CARNES ANP (NPI 1689648487) is an individual adult health provider in Portland, Maine, licensed in Maine (CNP251471) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1689648487
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMICHELLE HOPKINS CARNESCredential: ANP
Location Address887 CONGRESS ST STE 400Portland, ME 04102-3163
Mailing Address887 Congress St Ste 400Portland, ME 04102-3163 · (207) 774-6368 · Fax (207) 774-9388
Phone(207) 774-6368
Fax(207) 774-9388
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 16, 2006
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1689648487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in ME · CNP251471
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN098519 (ME)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP251471 (ME)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License AP1929 (AZ)
887 CONGRESS ST STE 400, Portland, ME 04102
Open in Google Maps ↗

Secondary Practice Location 1

Location 12946 E. Banner Gateway DriveGilbert, AZ 85234 · Phone (480) 256-6444 · Fax (480) 256-3682

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Michelle Hopkins Carnes Anp 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 ID5991781221
PECOS Enrollment IDI20040628000725, I20251215000004
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 2

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.

Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
43 services38 patients
Simple complete removal of breast 19303
This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 16

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

ANNA MARIE BONIAKOWSKI MD
Surgery (Vascular Surgery)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 662-7127
DR. KRISTINA WONG BERMAS MD
Surgery (Surgical Critical Care)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
JULIE E SALVATELLI PA
Physician Assistant
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
MS. AMBER ERIN SCHAUB PA-C
Physician Assistant (Surgical)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
MARC LAFRANCE DEMERS MD
Surgery
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 373-6000
RICHA VERMA M.D.
Surgery (Surgical Critical Care)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
TOVAH Z. MOSS M.D.
Surgery (Surgical Critical Care)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
MELANIE JEAN BUREAU ACNP
Nurse Practitioner (Acute Care)
887 CONGRESS ST STE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368

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 Michelle Carnes's NPI number?

The NPI number for Michelle Carnes is 1689648487. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Michelle Carnes located?

Michelle Carnes practices at 887 Congress St Ste 400, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Michelle Carnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michelle Carnes enrolled in Medicare?

Yes. Michelle Carnes 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 Michelle Carnes accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Michelle Carnes 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 Michelle Carnes affiliated with any hospitals?

According to CMS data, Michelle Carnes is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Carnes was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.