CHRISTINA ROSE THERIAULT (NP) – Women's Health Nurse Practitioner, NPI 1538245097

CHRISTINA ROSE THERIAULT (NP) is a healthcare provider. based in Fort kent, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1538245097 (ME). The NPI Number for CHRISTINA ROSE THERIAULT (NP) is 1538245097

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA ROSE THERIAULT (NP)
NPI
1538245097
Phone
(207) 402-3220
Address
139 MARKET ST
Enumeration Date
27 October 2006
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078345877
Graduation Year
2006 (20 years ago)
PAC ID
6002991023
Group Practice PAC ID
8426952987
Professional Enrollment ID
I20140806002298
Address ID
ME047431409FO197XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

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Provider Addresses for CHRISTINA ROSE THERIAULT (NP)

  • 139, Market Street, Fort Kent, Fort Kent Township, Aroostook County, Maine, 04743, United States

    FORT KENT, ME 047431410

    Phone: (207) 402-3220

    Fax: (207) 834-1188

    Type: Location

  • 139 Market St

    Fort Kent, ME 047431410

    Phone: (207) 402-3220

    Fax: (207) 834-1188

    Type: Location

  • 197 E MAIN ST

    FORT KENT, ME 047431409

    Phone: (207) 834-1560

    Fax: (207) 834-1561

    Type: Location

  • 587, Scenic Drive East, Augusta, Kennebec County, Maine, 04330, United States

    AUGUSTA, ME 043320587

    Phone: (207) 509-3271

    Fax: (207) 660-4203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-08-06

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
I20140806002298INurse 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 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: 8426952987View full group profile
NameSpecialtyState
-ME
Nurse PractitionerME
Family PracticeME
Nurse PractitionerME
Family PracticeME
Emergency MedicineHI
Certified Registered Nurse Anesthetist (Crna)NC
H O S P I T A L I S TME
Nurse PractitionerME
Emergency MedicinePA

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINA ROSE THERIAULT (NP)?
NPI 1538245097 is assigned to CHRISTINA ROSE THERIAULT (NP) under the national enumeration system.
Is CHRISTINA ROSE THERIAULT (NP) currently active in the NPI registry?
CMS-published data lists CHRISTINA ROSE THERIAULT (NP) as an active registrant.
What field does CHRISTINA ROSE THERIAULT (NP) work in?
You can think of CHRISTINA ROSE THERIAULT (NP) as practicing within Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CHRISTINA ROSE THERIAULT (NP) practice in Maine?
You will see Fort Kent, Maine on file for CHRISTINA ROSE THERIAULT (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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