Individual provider Active NPI

Elizabeth J O'Mara, FNP-BC

  • Family Nurse Practitioner
  • Islesboro, ME
National Provider Identifier
1083339352
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221281 Issued in ME
Practice address
150 Main Rd
Islesboro, ME 04848-4508
Phone
(207) 734-2213
Fax
(207) 734-8392
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 CNP221281 ME Primary

Addresses

Primary practice location

150 Main Rd
Islesboro, ME 04848-4508

Mailing address

203 McCorison LN
Islesboro, ME 04848-4744
Phone (617) 620-9777

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
I20250422000239 ME Practitioner - Nurse Practitioner 6204351349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town of IslesboroGroup PAC ID 7911155940, 8 clinicians

Practice addresses (Care Compare)

150 Main Rd
Islesboro, ME 04848-4508
Phone (207) 734-2213

Hospital & facility affiliations

  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP221281MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Islesboro CurrentSince Feb 15, 2025 Accepting new patients

Locations

150 Main Rd
Islesboro, ME 04848
Phone (207) 734-1958

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1083339352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MCCORISON LN",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048484744",
            "telephone_number": "617-620-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN RD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048484508",
            "telephone_number": "207-734-2213",
            "fax_number": "207-734-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islesboro, ME

Sources for this page

Verify at the official NPI Registry.