Individual provider Active NPI

Moriah Vellani, NP

  • Nurse Practitioner
  • Portland, ME
National Provider Identifier
1366177925
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP221401 Issued in ME
Practice address
98 Rackleff St
Portland, ME 04103-3054
Phone
(207) 215-5754
NPI assigned
Jul 19, 2022
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 CNP221401 ME Primary

Addresses

Primary practice location

98 Rackleff St
Portland, ME 04103-3054

Mailing address

136 Linden Dr Ste 104
Winchester, VA 22601-6900
Phone (540) 504-0118

Other practice location 1

158 Ross Rd
Kennebunk, ME 04043-6532
Phone (207) 775-4000

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
I20220831003711 ME Practitioner - Nurse Practitioner 6204210750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PCGroup PAC ID 2466743992, 14 clinicians
Novella Infusion LLCGroup PAC ID 1254742471, 14 clinicians

Practice addresses (Care Compare)

535 Ocean Ave
Suite 2
Portland, ME 04103-4970
Phone (207) 518-8869

94 Auburn St
Suite 203
Portland, ME 04103-2100
Phone (603) 836-9869

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates PC CurrentSince Oct 1, 2022 Accepting new patients
Novella Infusion LLC CurrentSince Nov 3, 2025 Accepting new patients
Novella Infusion LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

188 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3121

51 Winship St
Bath, ME 04530
Phone (207) 373-3646

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

158 Ross Rd
Kennebunk, ME 04043
Phone (207) 370-6470

963 Sabattus St
Unit 3
Lewiston, ME 04240
Phone (207) 747-1181

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

535 Ocean Ave
Ste 2
Portland, ME 04103
Phone (207) 518-6000

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

94 Auburn St
Ste 203
Portland, ME 04103
Phone (207) 747-1181

370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021

136 Linden Dr
Ste 104
Winchester, VA 22601

Organizations & group practices 3

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1366177925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-504-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 RACKLEFF ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033054",
            "telephone_number": "207-215-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Ross Rd",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436532",
            "country_code": "US",
            "telephone_number": "207-775-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELLANI",
        "first_name": "MORIAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP221401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.