Active NPI 1699013862 Individual Practitioner Female Practitioner

Nancy Rushton , NP

Nurse Practitioner • Waterville, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nancy Rushton, NP is a certified Nurse Practitioner practicing in Waterville, ME. With approximately 35 years of clinical experience since completing medical education in 1991, Nancy Rushton delivers high-quality medical care to the local community at 149 NORTH ST.

Nancy Rushton is affiliated with Mainegeneral Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

149 North St

Waterville, ME 049014974

Telephone 2078721270

Associated Practice Facility / Clinic

🏢 Mid-Maine Radiology, P.a Facility NPI 1356328421

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waterville, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +23.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 12.8 Yrs

Regional Practice Density

25 Specialists

Practicing in Waterville, ME (460 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rushton (35 Years) 35 Yrs

Waterville Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	177	45	$257.78	$121.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	20	$173.12	$85.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	280	61	$256.00	$122.48
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	25	$172.00	$85.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	288	68	$256.00	$106.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	36	$172.00	$72.24
99306 Initial nursing facility visit, typically 45 minutes per day	37	37	$306.00	$133.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	367	74	$256.00	$110.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	28	$172.00	$74.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	483	81	$256.00	$112.28
99497 Advance care planning, first 30 minutes	42	32	$86.00	$66.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$172.00	$76.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	413	102	$256.00	$110.63
99358 Prolonged patient service without direct patient contact first hour	47	43	$212.00	$91.45
99316 Nursing facility discharge management, more than 30 minutes	21	19	$191.00	$86.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	302	93	$256.00	$111.25
99358 Prolonged patient service without direct patient contact first hour	51	45	$212.00	$91.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	34	$172.00	$74.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	17	$126.43	$56.63
99316 Nursing facility discharge management, more than 30 minutes	13	12	$191.00	$86.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$277.00	$111.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	20	$152.00	$58.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$409.00	$165.42

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ME CNP131001

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mainegeneral Medical Center

35 Medical Ctr Pkwy, Augusta, ME 043308160

Phone: 2076211000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Linda Ohnmacht , NP

Nurse Practitioner

NPI 1013020742

Nurse Practitioner

Martha Ponitz , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023065125

Certified Registered Nurse Anesthetist

Mayo Morris , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053368142

Certified Registered Nurse Anesthetist

Dr. Michael Bushey , MD

Anesthesiology

NPI 1073552253

Doctor of Medicine (M.D.)

Dr. Benjamin Brown , MD

Hospitalist

NPI 1235216094

Doctor of Medicine (M.D.)

Ruth Mcniff , PA

Physician Assistant

NPI 1720219090

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2013

Registered at 149 NORTH ST, WATERVILLE, ME 049014974 (Tel: 2078721270)

📍

Updated Business Mailing Address January 23, 2013

Registered at 149 NORTH ST, WATERVILLE, ME 049014974 (Tel: 2078721270)

👤

Provider Name / Credentials Updated January 23, 2013

Recorded as NANCY RUSHTON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Nurse Practitioner (License #CNP131001 in ME)

🟢

Initial NPI Registration & Enumeration January 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699013862

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 23, 2013

Last Update: January 23, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

149 North St

Waterville, ME 049014974

Phone: 2078721270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.