Active NPI
Mary C. Sanders, FNP-C, BC-ADM, CDCES
- Nurse Practitioner
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP191272
- Practice address
- 144 State St FL 4
Portland, ME 04101-3776 - Phone
- (207) 400-8500
- Fax
- (207) 400-8508
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP191272 | ME | Primary |
| Family Nurse Practitioner | 363LF0000X | APN.0991682-NP | CO |
Addresses
Primary practice location
144 State St FL 4
Portland, ME 04101-3776
Mailing address
144 State St FL 4
Portland, ME 04101-3776
Phone (207) 400-8500
Other practice location 1
1650 Cochrane Cir
Building 7505
Fort Carson, CO 80913-4604
Phone (719) 526-6073
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
195 Fore River Pkwy
Suite 160
Portland, ME 04102-2782
Phone (207) 553-6767
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
43 Baxter Blvd
Suite 2
Portland, ME 04101-1823
Phone (207) 771-1717
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP191272 | ME | MD | Nurse Practitioner |
| APN.0991682-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
195 Fore River Pkwy
Ste 300
Portland, ME 04102
Phone (207) 400-8500
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1205229135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ST FL 4",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-400-8500",
"fax_number": "207-400-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ST FL 4",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-400-8500",
"fax_number": "207-400-8508"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir",
"address_2": "Building 7505",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134604",
"country_code": "US",
"telephone_number": "719-526-6073",
"fax_number": "719-526-7732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "MARY",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "FNP-C, BC-ADM, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP191272",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991682-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.