NPIMap

Individual provider Active NPI

Meredith B Ryan, NP

  • Family Nurse Practitioner
  • Kennebunk, ME
National Provider Identifier
1013658988
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69616 Issued in ME
Practice address
62 Portland Rd Ste 47
Kennebunk, ME 04043-6650
Phone
(207) 502-7386
Fax
(207) 502-7661
NPI assigned
Apr 5, 2022
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 69616 ME Primary

Addresses

Primary practice location

62 Portland Rd Ste 47
Kennebunk, ME 04043-6650

Mailing address

62 Portland Rd Ste 47
Kennebunk, ME 04043-6650
Phone (207) 502-7386

Other identifiers 1

IdentifierTypeStateIssuer
RN69616OtherMELICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718002502 ME Practitioner - Nurse Practitioner 4688055965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

127 Long Sands Rd
11 York Family Practice Associates of York
York, ME 03909-1159
Phone (207) 363-8430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69616MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
York Hospital CurrentSince Jun 6, 2022 Accepting new patients
Kennebunk Walk-in Clinic CurrentSince Dec 2, 2024 Accepting new patients

Locations

62 Portland Rd
Ste 47
Kennebunk, ME 04043
Phone (207) 502-7386

127 Long Sands Rd
York, ME 03909
Phone (207) 351-3715

127 Long Sands Rd
Ste 11
York, ME 03909
Phone (207) 361-3888

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFAD/Endpoint/CDIFAD

Organizations & group practices 3

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

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1013658988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 47",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436650",
            "telephone_number": "207-502-7386",
            "fax_number": "207-502-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 47",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436650",
            "telephone_number": "207-502-7386",
            "fax_number": "207-502-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MEREDITH",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "69616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN69616",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.