Individual provider Active NPI

Nicole Lynn Ray, FNP

  • Family Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1083129498
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP171186 Issued in ME
Practice address
229B Main St
Waterville, ME 04901-6119
Phone
(207) 212-9868
Fax
(614) 818-5006
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 24

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maine Medical Consultants PC 46 clinicians
Pai Participant 7 PC 31 clinicians
Redington-Fairview General Hospital 50 clinicians

Practice addresses (Care Compare)

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 518-8869

367 US Route 1
Suite 3S
Falmouth, ME 04105-1352
Phone (207) 962-1200

46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
70.14
Improvement activities
40
Cost
79.21

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VA, OH, FL, DC5 enrollments
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.

Medicare enrollment records 5

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180213000794 ME Practitioner - Nurse Practitioner 8628338605 Reassigns benefits to 14 organizations
I20260618003073 VA Practitioner - Nurse Practitioner 8628338605 Reassigns benefits to 1 organization
I20260623002084 OH Practitioner - Nurse Practitioner 8628338605 Reassigns benefits to 1 organization
I20260624004475 FL Practitioner - Nurse Practitioner 8628338605 Reassigns benefits to 1 organization
I20260625000232 DC Practitioner - Nurse Practitioner 8628338605 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 7 PC CurrentSince Nov 1, 2025 Accepting new patients
Rumford Hospital CurrentSince Jul 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Sep 18, 2019 Accepting new patients
Rumford Hospital CurrentSince Jul 1, 2022 Accepting new patients
Nes Medical Services of New England Inc CurrentSince Sep 19, 2022 Accepting new patients
Mainehealth CurrentSince Dec 17, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 16, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Sep 18, 2019 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 16, 2019 Accepting new patients
Maine Medical Consultants PC CurrentSince Jan 4, 2025 Accepting new patients
Apogee Medical Group Maine PC CurrentSince Oct 8, 2023 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Water'S Edge Therapy Services, LLC Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Urgentpoint Medical Group, PC Past Accepting new patients
Eladh, LP Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Locations

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

12 High St
Lewiston, ME 04240
Phone (207) 795-5730

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP171186 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

229B Main St
Waterville, ME 04901-6119

Mailing address

PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-5121

Other practice location 1

46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121

Other practice location 2

12 High St
Lewiston, ME 04240-7676
Phone (207) 779-2362

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2026.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1083129498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-474-5121",
            "fax_number": "207-474-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229B MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016119",
            "telephone_number": "207-212-9868",
            "fax_number": "614-818-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761481",
            "country_code": "US",
            "telephone_number": "207-474-5121",
            "fax_number": "207-474-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 High St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407676",
            "country_code": "US",
            "telephone_number": "207-779-2362",
            "fax_number": "207-779-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.