NPIMap

Individual provider Active NPI

Nicole E Merrill, NP

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1154735843
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP141050 Issued in ME
Practice address
335 Brighton Ave Ste 200
Portland, ME 04102-2362
Phone
(207) 662-8600
Fax
(207) 662-8668
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN49827 ME
Family Nurse Practitioner 363LF0000X CNP141050 ME Primary

Addresses

Primary practice location

335 Brighton Ave Ste 200
Portland, ME 04102-2362

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

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
I20140728001812 ME Practitioner - Nurse Practitioner 4486870441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 662-8000

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
RN49827MEMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 18, 2021 Accepting new patients
Maine Medical Partners Family Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Oct 18, 2021 Accepting new patients
Mainehealth CurrentSince Oct 18, 2021 Accepting new patients
Mainehealth Past Accepting new patients

Locations

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

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

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

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

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

Organizations & group practices 6

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1154735843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE STE 200",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022362",
            "telephone_number": "207-662-8600",
            "fax_number": "207-662-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ME",
            "license": "RN49827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP141050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.