Individual provider Active NPI

Olivia McPherson

  • Physician Assistant
  • Sanford, ME
National Provider Identifier
1356120968
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2912 Issued in ME
Practice address
25 June St
Sanford, ME 04073-2621
Phone
(207) 490-7450
Fax
(207) 490-7452
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2912 ME Primary

Addresses

Primary practice location

25 June St
Sanford, ME 04073-2621

Mailing address

25 June St
Sanford, ME 04073-2621
Phone (207) 490-7450

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2381

Other practice location 2

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 662-0111

Other practice location 3

25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900

Other practice location 4

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 294-5000

Other practice location 5

10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7505

Other practice location 6

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-6900

Other practice location 7

655 Main St
Saco, ME 04072-1699
Phone (207) 294-5600

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
I20250729004228 ME Practitioner - Physician Assistant 7618484122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 14, 2025 Accepting new patients
Mainehealth CurrentSince Aug 14, 2025 Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

10 Goodall Dr
Ste 900
East Waterboro, ME 04030
Phone (207) 490-7505

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

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

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

655 Main St
Saco, ME 04072
Phone (207) 283-1407

25A June St
Ste 11
Sanford, ME 04073
Phone (207) 282-3666

25 June St
Sanford, ME 04073
Phone (207) 324-4310

Interoperability endpoints

  • Direct secure messaging: omcpherson917872@direct.mmc.mainehealth.org

Organizations & group practices 4

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 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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1356120968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7450",
            "fax_number": "207-490-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7450",
            "fax_number": "207-490-7452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022363",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "fax_number": "207-662-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25A June St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732642",
            "country_code": "US",
            "telephone_number": "207-490-7900",
            "fax_number": "207-490-7969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-294-5000",
            "fax_number": "207-294-5227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Goodall Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "East Waterboro",
            "state": "ME",
            "postal_code": "040305233",
            "country_code": "US",
            "telephone_number": "207-490-7505",
            "fax_number": "207-490-7529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Livewell Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436762",
            "country_code": "US",
            "telephone_number": "207-467-6900",
            "fax_number": "207-467-6921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Main St",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721699",
            "country_code": "US",
            "telephone_number": "207-294-5600",
            "fax_number": "207-294-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.