Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amie Fagan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114687480

Amie Fagan, PMHNP is a Nurse Practitioner in Waterville, Maine. Qualified in 2021, 5 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

149 N St
Waterville, ME 04901-4974
Phone: (207) 873-1098
Fax: (207) 861-5461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP211610 (ME)

Record details

NPI number1114687480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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