Individual provider Active NPI

Meryl Jones Scichilone, FNP-C

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1013608645
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP231269 Issued in ME
Practice address
195 Fore River Pkwy Ste 410
Portland, ME 04102-2788
Phone
(207) 774-9839
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP231269 ME Primary

Addresses

Primary practice location

195 Fore River Pkwy Ste 410
Portland, ME 04102-2788

Mailing address

195 Fore River Pkwy Ste 410
Portland, ME 04102-2788
Phone (207) 774-9839

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002753 ME Practitioner - Nurse Practitioner 9638530108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates of MaineGroup PAC ID 2567489016, 7 clinicians

Practice addresses (Care Compare)

195 Fore River Pkwy
Suite 410
Portland, ME 04102-2788
Phone (207) 774-9839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP231269MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 23, 2023 Accepting new patients
Allergy & Asthma Associates of Maine CurrentSince Sep 9, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 23, 2023 Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

28 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 774-9839

28 W Cole Rd
Biddeford, ME 04005
Phone (207) 284-6114

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

235 High St
Ellsworth, ME 04605
Phone (207) 412-5200

33 Mollison Way
#R
Lewiston, ME 04240
Phone (207) 755-3785

195 Fore River Pkwy
Ste 410
Portland, ME 04102
Phone (207) 473-1928

506 Main St
Saco, ME 04072
Phone (207) 571-7991

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: meryl.jones.1@31586.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1013608645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY STE 410",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022788",
            "telephone_number": "207-774-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY STE 410",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022788",
            "telephone_number": "207-774-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCICHILONE",
        "first_name": "MERYL",
        "middle_name": "JONES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.