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JUSTIN MORGAN FOX PMHNP-BC
NPI 1932944998
Nurse Practitioner - Psychiatric/Mental Health in Skowhegan, ME

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
5 COMMERCE DR, SKOWHEGAN, ME 04976(207) 855-3675 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2024, Jul 1, 2024 (2 updates tracked since 2024).

About Justin Morgan Fox Pmhnp-bc NPPES

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

JUSTIN MORGAN FOX PMHNP-BC (NPI 1932944998) is an individual psychiatric/mental health provider in Skowhegan, Maine, licensed in Maine (CNP241363) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Redington Fairview General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932944998
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTIN MORGAN FOXCredential: PMHNP-BC
Location Address5 COMMERCE DRSkowhegan, ME 04976-4823
Mailing Address5 Commerce DrSkowhegan, ME 04976-4823 · (207) 855-3675
Phone(207) 855-3675
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 1, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1932944998 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 · CNP241363
5 COMMERCE DR, Skowhegan, ME 04976
Open in Google Maps ↗

Secondary Practice Locations 2

Location 162 Main StSkowhegan, ME 04976-1198 · Phone (207) 858-4844 · Fax (207) 858-0348
Location 246 Fairview Ave Ste 334Skowhegan, ME 04976-1481 · Phone (207) 474-6201 · Fax (207) 474-0969

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Morgan Fox 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 ID7719424902
PECOS Enrollment IDI20240806001810
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Redington-Fairview General Hospital
5.9 mi
Critical Access
46 FAIRVIEW AVE
Skowhegan, ME 04976
  • Reassigned Medicare billing, Maine enrollment
  • 124 clinicians in this Medicare group
NPI 1174549133 (207) 474-5121
Kennebec Valley Mental Health Center
14 mi
Mental Health (Including Community Mental Health Center)
67 EUSTIS PKWY
Waterville, ME 04901
  • Reassigned Medicare billing, Maine enrollment
  • 92 clinicians in this Medicare group
NPI 1679504864 (207) 873-2136
Anglez Behavioral Health Services PA
29 mi
Case Management
841 RIVERSIDE DR
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 11 clinicians in this Medicare group
NPI 1457691263 (844) 294-5306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 04976 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.

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.

CANDACE RICE LSW
Social Worker
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 626-3478
JULIE KRISTEN RANDALL YORK LCPC
Counselor (Professional)
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 873-2136
MRS. CRYSTAL PATRIC FORTIN LSW
Social Worker
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 474-8311
CHAD PARISI LCPC
Counselor (Professional)
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 474-8311
KATLYNN BEAUMONT CADC
Counselor (Addiction (Substance Use Disorder))
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 474-8368
ARLENE CHRISTIE ALMAZAN MD
Psychiatry & Neurology (Psychiatry)
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 873-2136
DARREN RIPLEY SR. LADC,CCS
Counselor (Addiction (Substance Use Disorder))
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 474-3670
MRS. ANNMARIE FRANCES DUBOIS LCSW
Social Worker (Clinical)
5 COMMERCE DR
SKOWHEGAN, ME 04976
Somerset County (207) 474-8368

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 Justin Fox's NPI number?

The NPI number for Justin Fox is 1932944998. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Justin Fox located?

Justin Fox practices at 5 Commerce Dr, Skowhegan, ME 04976. The listed phone number is (207) 855-3675.

What is Justin Fox's specialty?

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

Is Justin Fox enrolled in Medicare?

Yes. Justin Fox 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.

Which organizations bill Medicare for Justin Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fox reassigns Medicare benefits to 3 organizations: Redington-Fairview General Hospital (Skowhegan, ME), Kennebec Valley Mental Health Center (Waterville, ME) and Anglez Behavioral Health Services PA (Augusta, ME). Each 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 Justin Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Fox affiliated with any hospitals?

According to CMS data, Justin Fox is affiliated with Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Fox was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.