Active NPI
Margaret R Waterman, R. N. N. P.
- Acute Care Nurse Practitioner
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- CNP81968
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301069 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | 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 | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | 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
- 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.
-
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Hematology (Internal Medicine) Physician
- Rochester, NY
- NPI 1821049396
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.