NPIMap

Individual provider Active NPI

Angela F Henry, NP

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1245718097
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP181183 Issued in ME
Practice address
91 Campus Ave
Lewiston, ME 04240-6030
Phone
(207) 777-8120
Fax
(207) 777-8984
NPI assigned
Aug 3, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP181183 ME Primary

Addresses

Primary practice location

91 Campus Ave
Lewiston, ME 04240-6030

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 755-3781

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
I20181008001178 ME Practitioner - Nurse Practitioner 8921350695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Fore River Urology LLCGroup PAC ID 5799911566, 10 clinicians
Martin's Point Health Care, Inc.Group PAC ID 5991776635, 91 clinicians

Practice addresses (Care Compare)

21 Donald B Dean Dr
Suite 1
South Portland, ME 04106-3252
Phone (207) 518-6617

331 Veranda St
Portland, ME 04103-5545
Phone (207) 828-2402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fore River Urology LLC CurrentSince Aug 9, 2025 Accepting new patients
Mainehealth CurrentSince Jun 1, 2020 Accepting new patients
Martin's Point Health Care, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Mainehealth CurrentSince Jun 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 4, 2025 Accepting new patients

Locations

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

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

21 Donald B Dean Dr
South Portland, ME 04106
Phone (207) 518-6600

21 Donald B Dean Dr
#1
South Portland, ME 04106
Phone (207) 518-6617

Interoperability endpoints

  • Direct secure messaging: ahenry300160@direct.mmc.mainehealth.org
  • Direct secure messaging: angela.henry.1@7607.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7607/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1245718097",
    "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": "207-755-3781",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406030",
            "telephone_number": "207-777-8120",
            "fax_number": "207-777-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ANGELA",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.