STEPHANIE NICOLE MERGENTHALER NP
NPI 1942877220
Nurse Practitioner in Augusta, ME

Q: What is Stephanie Mergenthaler's NPI number?

The NPI number for Stephanie Mergenthaler is 1942877220. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Stephanie Mergenthaler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment

79.27/100

CMS Quality Rating

15 ENTERPRISE DR, AUGUSTA, ME 04330(207) 621-8880 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie Nicole Mergenthaler Np NPPES

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

STEPHANIE NICOLE MERGENTHALER NP (NPI 1942877220) is an individual nurse practitioner in Augusta, Maine, licensed in Maine (CNP211237) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942877220

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHANIE NICOLE MERGENTHALERCredential: NP

Location Address15 ENTERPRISE DRAugusta, ME 04330-7997

Mailing Address15 Enterprise DrAugusta, ME 04330-7997 · (207) 621-8880

Phone(207) 621-8880

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 7, 2021

NPPES CertifiedJune 7, 2021

✔ NPI 1942877220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP211237

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

15 ENTERPRISE DR, Augusta, ME 04330

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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

Stephanie Nicole Mergenthaler Np 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 ID8820493653

PECOS Enrollment IDI20210817003056

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.

86 services86 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services47 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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.

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.

79.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.72

Promoting Interoperability

Improvement Activities

Cost

60.51

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.

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