SARAH PATRICIA PELLETIER (CNP) – Family Nurse Practitioner, NPI 1417434804

SARAH PATRICIA PELLETIER (CNP) is a healthcare provider. based in Fort kent, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP181192 (ME). The NPI Number for SARAH PATRICIA PELLETIER (CNP) is 1417434804

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SARAH PATRICIA PELLETIER (CNP)
NPI
1417434804
Phone
(207) 834-3971
Address
12 BOLDUC AVE
Enumeration Date
27 July 2018
Last Update Date
29 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074445973
Graduation Year
2018 (8 years ago)
PAC ID
4688925092
Group Practice PAC ID
3577531953
Professional Enrollment ID
I20180925001023
Address ID
ME047431602FO12XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

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Provider Addresses for SARAH PATRICIA PELLETIER (CNP)

  • 12, Bolduc Avenue, Fort Kent, Fort Kent Township, Aroostook County, Maine, 04743, United States

    FORT KENT, ME 047431602

    Phone: (207) 834-3971

    Fax: (207) 834-3837

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-09-25

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
I20180925001023INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level1911$0
View full utilization report →

Insurance plans in this area (ZIP 04743)

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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: 3577531953View full group profile
NameSpecialtyState
Nurse PractitionerME
Family PracticeME
Family PracticeME
Clinical Social WorkerME
C H I R O P R A C T I CNH
Nurse PractitionerME
C H I R O P R A C T I CME
C H I R O P R A C T I CME
Physician AssistantME
Clinical Social WorkerME

Reviews

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Frequently asked questions

What number should I use to identify SARAH PATRICIA PELLETIER (CNP) for billing?
Administrative and clinical systems typically use NPI 1417434804 for SARAH PATRICIA PELLETIER (CNP).
Does the public listing show SARAH PATRICIA PELLETIER (CNP) as active?
SARAH PATRICIA PELLETIER (CNP)'s NPI record reflects an active status in NPPES.
What services align with SARAH PATRICIA PELLETIER (CNP)'s listing?
SARAH PATRICIA PELLETIER (CNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SARAH PATRICIA PELLETIER (CNP)?
SARAH PATRICIA PELLETIER (CNP) shows a connection to Fort Kent, Maine in registry-derived data.
Can I export SARAH PATRICIA PELLETIER (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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