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

Michael C Tavares, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558089276

Michael C Tavares, PMHNP is a Nurse Practitioner in Bangor, Maine. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with Penobscot Community Health Center, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Maine.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
FL, ME
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

181 Corporate Dr
Bangor, ME 04401-4314
Phone: (207) 992-2636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1221 W Lakeview Ave, Pensacola, FL 32501-1836 — (850) 469-3500
  • 6119 Hilburn Rd, Pensacola, FL 32504-6218 — (850) 602-8467

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP241426 (ME)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11022135 (FL)

Record details

NPI number1558089276
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Penobscot Community Health Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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