MS. MAUREEN FRANCES VIDRINE APRN-PMH NPI 1326116633

NPI Information

  • NPI: 1326116633
  • Provider Name: MS. MAUREEN FRANCES VIDRINE, APRN-PMH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10385 HWY 278
    COVINGTON, GA
    ZIP 30014
  • Phone: (770) 784-9777

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NPI Details

MS. Maureen Frances Vidrine, APRN-PMH is a psychiatric/mental health nurse practitioner in Covington, GA with 35 years of experience. MS. Maureen Frances Vidrine, APRN-PMH NPI is 1326116633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10385 HWY 278
COVINGTON, GA
ZIP 30014
Phone: (770) 784-9777

The NPI 1326116633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN076382GEORGIANo
2364S00000XClinical Nurse SpecialistRN076382GEORGIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthRN076382GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189BBBCBMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2019589102OTHERANCC CNS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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