Individual provider Active NPI

Melissa Keeport, MD

  • Pediatrics Physician
  • Damariscotta, ME
National Provider Identifier
1295199297
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD22795 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4250
Fax
(207) 810-4977
NPI assigned
Apr 6, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD22795 ME Primary
Pediatrics Physician 208000000X 39891 NH

Addresses

Primary practice location

24 Miles Center Way
Damariscotta, ME 04543-4067

Mailing address

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4250

Other practice location 1

49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7911

Other practice location 2

181 Franklin Health Commons
Farmington, ME 04938
Phone (207) 563-4250

Other practice location 3

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-1111

Other practice location 4

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5472

Other practice location 5

81 Academy Hl
Newcastle, ME 04553-3433
Phone (207) 633-1540

Other practice location 6

19 Saint Andrews Ln
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

Other practice location 7

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621001133 ME Practitioner - Pediatric Medicine 4486949047 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 6, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince May 6, 2019 Accepting new patients
Mainehealth Current Accepting new patients

Locations

19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

181 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

81 Academy Hl
Newcastle, ME 04553
Phone (207) 633-1540

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

49 Hooper St
Wiscasset, ME 04578
Phone (207) 882-7600

Interoperability endpoints

  • Direct secure messaging: mkeeport140153@direct.mmc.mainehealth.org

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

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1295199297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Hooper St",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784053",
            "country_code": "US",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Franklin Health Commons",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "04938",
            "country_code": "US",
            "telephone_number": "207-563-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-5472",
            "fax_number": "603-356-9647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Academy Hl",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "ME",
            "postal_code": "045533433",
            "country_code": "US",
            "telephone_number": "207-633-1540",
            "fax_number": "207-633-7082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Saint Andrews Ln",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381732",
            "country_code": "US",
            "telephone_number": "207-633-7820",
            "fax_number": "207-810-4966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Depot St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045725913",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEPORT",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD22795",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "39891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.