Individual provider Active NPI

Margaret R Waterman, R. N. N. P.

  • Acute Care Nurse Practitioner
  • South Portland, ME
National Provider Identifier
1104839448
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP81968 Issued in ME
Practice address
Maine Health Cancer Care
265 Western Avenue
South Portland, ME 04106
Phone
(207) 661-0200
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP081968 ME
Nurse Practitioner 363L00000X 301069 NY
Acute Care Nurse Practitioner 363LA2100X CNP81968 ME Primary

Addresses

Primary practice location

Maine Health Cancer Care
265 Western Avenue
South Portland, ME 04106

Mailing address

Maine Health Cancer Care
265 Western Avenue
South Portland, ME 04106
Phone (207) 661-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091028000051 ME Practitioner - Nurse Practitioner 0244377034 Reassigns benefits to 1 organization
I20181019002018 NY Practitioner - Nurse Practitioner 0244377034 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301069NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Nov 30, 2020 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Maine Medical Partners Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
Mainehealth Current Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Sep 1, 2018 Accepting new patients
University of Rochester CurrentSince Sep 1, 2018 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Mainehealth CurrentSince Nov 30, 2020 Accepting new patients
Mainehealth CurrentSince Nov 30, 2020 Accepting new patients

Locations

81 Medical Center Dr
Ste 1300
Brunswick, ME 04011
Phone (207) 373-6099

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200

265 Western Ave
South Portland, ME 04106
Phone (207) 661-0200

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: mwaterman222517@direct.mmc.mainehealth.org

Organizations & group practices 11

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1104839448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAINE HEALTH CANCER CARE",
            "address_2": "265 WESTERN AVENUE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-661-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAINE HEALTH CANCER CARE",
            "address_2": "265 WESTERN AVENUE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-661-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "MARGARET",
        "middle_name": "R",
        "credential": "R. N. N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "AP081968",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "301069",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP81968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.