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MS. ALISON MOORE TETRAULT PMHNP-BC
NPI 1851935878
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
17 BISHOP ST, PORTLAND, ME 04103(207) 835-0488(207) 835-0358 Get Directions Write a Review

NPPES record last updated: November 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2020, Nov 13, 2020, Mar 13, 2020 and 1 more (4 updates tracked since 2019).

About Ms. Alison Moore Tetrault Pmhnp-bc NPPES

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

MS. ALISON MOORE TETRAULT PMHNP-BC (NPI 1851935878) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (CNP201021) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851935878
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. ALISON MOORE TETRAULTCredential: PMHNP-BC
Location Address17 BISHOP STPortland, ME 04103-2659
Mailing Address17 Bishop StPortland, ME 04103-2659 · (207) 835-0488 · Fax (207) 835-0358
Phone(207) 835-0488
Fax(207) 835-0358
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 1, 2019
Last NPPES UpdateNovember 26, 20204 updates tracked since enumeration
NPPES CertifiedNovember 26, 2020
✔ NPI 1851935878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP201021
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 68812 (ME)
17 BISHOP ST, Portland, ME 04103
Open in Google Maps ↗

Secondary Practice Locations 3

Location 140 Beacon St ELaconia, NH 03246-3437 · Phone (603) 524-1100
Location 2123 Andover RdWestbrook, ME 04092-3850 · Phone (207) 761-2200
Location 325 June StSanford, ME 04073-2621 · Phone (207) 324-4310

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, Providence Health Plan and more.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

Ms. Alison Moore Tetrault 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 ID3870907256
PECOS Enrollment IDI20210126001616
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

MRS. REBECCA L DROUIN LCSW
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ALICIA M WILLIS CAC
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JOSEPH DIFONZO CADC
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 208-9787
MS. REBECCA W SPITKO LS11320
Case Manager/Care Coordinator
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KERRY DRACH PHD
Psychologist (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ANTHONY W BEATTIE LMHC, LCC
Counselor (Mental Health)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JESSICA OESTERHELDER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KASSADI MCPHERSON
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 203-7933

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 Alison Tetrault's NPI number?

The NPI number for Alison Tetrault is 1851935878. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Alison Tetrault located?

Alison Tetrault practices at 17 Bishop St, Portland, ME 04103. The listed phone number is (207) 835-0488.

What is Alison Tetrault's specialty?

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

Is Alison Tetrault enrolled in Medicare?

Yes. Alison Tetrault 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 Alison Tetrault accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Alison Tetrault 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.

When was this NPI record last updated?

The NPPES record for Alison Tetrault was last updated on November 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.