Anna Marie Scopellito-Olsen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD21516 Issued in ME

Practice address

25A June St Ste 111
Sanford, ME 04073-2642

Phone

(207) 490-7998

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ascopellitoolsen179125@direct.mmc.mainehealth.org
• Direct secure messaging: aolsen@1776o.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mainehealth

  • General Acute Care Hospital
  • Biddeford, ME
  • NPI 1659392819
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Skilled Nursing Facility
  • Sanford, ME
  • NPI 1447342209
  NPD
• Mainehealth

  • Internal Medicine Physician
  • Cape Elizabeth, ME
  • NPI 1619281698
  NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• The Medical Group Department of Goodall Hospital

  • Family Medicine Physician
  • Kennebunk, ME
  • NPI 1356356869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1003897935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MIDLAND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082918",
            "telephone_number": "718-668-6963",
            "fax_number": "718-351-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25A JUNE ST STE 111",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732642",
            "telephone_number": "207-490-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062578",
            "country_code": "US",
            "telephone_number": "718-668-6963",
            "fax_number": "718-351-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25A June St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732642",
            "country_code": "US",
            "telephone_number": "207-490-7334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOPELLITO-OLSEN",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168980",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD21516",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "168980",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD21516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Familt Dental, LLC
• Sanford Senior Care Operations, LLC
• Amit Sanyal, MD
• Alice J Schleinderer, EDD
• Steven J Schneider, M.D.
• Patricia Creedon Scott, PT
• Susan L Selbe, CNM
• Zenab Shaikh, PA-C
• Anuja Sharma, M.D.
• Shaun Janvier, DMD, PA

• Internal Medicine Physician in Sanford, ME
• Providers in Sanford, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.