NPIMap

Individual provider Active NPI

Amanda Graber, FNP

  • Nurse Practitioner
  • Cornish, ME
National Provider Identifier
1215413851
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP181098 Issued in ME
Practice address
202 Maple St Ste E
Cornish, ME 04020-3147
Phone
(207) 625-8126
NPI assigned
Jul 17, 2018
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP181098 ME Primary

Addresses

Primary practice location

202 Maple St Ste E
Cornish, ME 04020-3147

Mailing address

70 Main St
Porter, ME 04068-3527

Other practice location 1

70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126

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
I20180816002418 ME Practitioner - Nurse Practitioner 9032468566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Sacopee Valley Health CenterGroup PAC ID 5597664854, 19 clinicians

Practice addresses (Care Compare)

10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5233
Phone (207) 490-7760

202 Maple St
Suite E
Cornish, ME 04020-3147
Phone (207) 625-8126

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

25 A June St
Sanford, ME 04073-2642

655 Main St
Saco, ME 04072-1699
Phone (207) 294-5959

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

State licenses

LicenseStateTypeSpecialty
CNP181098MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Sacopee Valley Health Center CurrentSince Nov 1, 2023 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Jul 23, 2018 Accepting new patients
Mainehealth CurrentSince Jul 23, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Sacopee Valley Health Center CurrentSince Nov 1, 2023 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900

70 Main St
Porter, ME 04068
Phone (207) 625-8126

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

Interoperability endpoints

  • Direct secure messaging: agraber160677@direct.mmc.mainehealth.org
  • Direct secure messaging: amanda.graberfnp.p1@direct.svhc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1215413851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLE ST STE E",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203147",
            "telephone_number": "207-625-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Porter",
            "state": "ME",
            "postal_code": "040683527",
            "country_code": "US",
            "telephone_number": "207-625-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP181098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornish, ME

Sources for this page

Verify at the official NPI Registry.