Individual provider Active NPI

Nilaya C Palmer, PA

  • Surgical Physician Assistant
  • Portland, ME
National Provider Identifier
1194133124
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1462 Issued in ME
Practice address
33 Sewall St
Portland, ME 04102-2603
Phone
(207) 828-2100
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1462 ME Primary
Physician Assistant 363A00000X PA1462 ME

Addresses

Primary practice location

33 Sewall St
Portland, ME 04102-2603

Mailing address

324 Gannett Dr Ste 200
Portland, ME 04106-3266
Phone (207) 482-7800

Other practice location 1

430 Bath Rd Ste 102
Brunswick, ME 04011-2656
Phone (207) 442-0350

Other identifiers 1

IdentifierTypeStateIssuer
1194133124MedicaidME

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
I20150106001371 ME Practitioner - Physician Assistant 4587987110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
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

430 Bath Rd
Suite 102
Brunswick, ME 04011-2656
Phone (207) 442-0350

Hospital & facility affiliations

  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1462MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Maine PA CurrentSince Feb 1, 2025 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Feb 1, 2025 Accepting new patients
Mainehealth CurrentSince Dec 28, 2025 Accepting new patients
Maine Orthopaedic Center, PA Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

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

4 Commons Ave
Ste A
Windham, ME 04062
Phone (207) 893-1738

Interoperability endpoints

  • Direct secure messaging: npalmer876535@direct.mmc.mainehealth.org

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 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1194133124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022603",
            "telephone_number": "207-828-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Bath Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112656",
            "country_code": "US",
            "telephone_number": "207-442-0350",
            "fax_number": "207-618-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NILAYA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA1462",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194133124",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.