DR. MICAH GORDON MALENFANT DNP, PMHNP-BC, RN
NPI 1902415268
Nurse Practitioner - Psychiatric/Mental Health in Scarborough, ME

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074(207) 600-4025(207) 600-9625 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Jul 23, 2020 (2 updates tracked since 2020).

About Dr. Micah Gordon Malenfant Dnp, Pmhnp-bc, Rn NPPES

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

DR. MICAH GORDON MALENFANT DNP, PMHNP-BC, RN (NPI 1902415268) is an individual psychiatric/mental health provider in Scarborough, Maine, licensed in Maine (CNP201195) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902415268
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MICAH GORDON MALENFANTCredential: DNP, PMHNP-BC, RN
Location Address15 PLEASANT HILL RD STE 204Scarborough, ME 04074-7678
Mailing Address15 Pleasant Hill Rd Ste 204Scarborough, ME 04074-7678
Fax(207) 600-9625
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1902415268 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 · CNP201195
15 PLEASANT HILL RD STE 204, Scarborough, ME 04074

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

Dr. Micah Gordon Malenfant Dnp, Pmhnp-bc, Rn 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 ID4587081658
PECOS Enrollment IDI20200903001765
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services37 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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 13

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

Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Psychologist (Clinical)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074

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 Micah Malenfant's NPI number?

The NPI number for Micah Malenfant is 1902415268. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Micah Malenfant located?

Micah Malenfant practices at 15 Pleasant Hill Rd Ste 204, Scarborough, ME 04074. The listed phone number is (207) 600-4025.

What is Micah Malenfant's specialty?

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

Is Micah Malenfant enrolled in Medicare?

Yes. Micah Malenfant 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.

When was this NPI record last updated?

The NPPES record for Micah Malenfant was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.