MRS. ELIZABETH MAE INCANNELLA (FNP) – Family Nurse Practitioner, NPI 1275145393

MRS. ELIZABETH MAE INCANNELLA (FNP) is a healthcare provider. based in Calais, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. CNP201145 (ME). The NPI Number for MRS. ELIZABETH MAE INCANNELLA (FNP) is 1275145393

Main info

Female
6 Years Of Experience
Name
MRS. ELIZABETH MAE INCANNELLA (FNP)
NPI
1275145393
Phone
(207) 454-9516
Address
37 PALMER ST STE 2
Enumeration Date
19 August 2020
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
4385064468
Group Practice PAC ID
6901715176
Professional Enrollment ID
I20201009002497
Address ID
ME046191305CA43XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for MRS. ELIZABETH MAE INCANNELLA (FNP)

  • 37 PALMER ST STE 2

    CALAIS, ME 046191341

    Phone: (207) 454-9516

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($69).

Total Amount

$218

General + Research + Ownership

Payments

12

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201009002497INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04619)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901715176View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MRS. ELIZABETH MAE INCANNELLA (FNP) in U.S. healthcare records?
The official identifier for MRS. ELIZABETH MAE INCANNELLA (FNP) is NPI 1275145393.
Would MRS. ELIZABETH MAE INCANNELLA (FNP) appear as active to a payer?
You can treat MRS. ELIZABETH MAE INCANNELLA (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. ELIZABETH MAE INCANNELLA (FNP)?
MRS. ELIZABETH MAE INCANNELLA (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. ELIZABETH MAE INCANNELLA (FNP)?
Travel planning: use Calais, Maine as the reference point for MRS. ELIZABETH MAE INCANNELLA (FNP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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