Individual provider Active NPI

Merideth C. Norris, DO

  • Family Medicine Physician
  • Kennebunk, ME
National Provider Identifier
1386684868
Registry record updated Mar 10, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Aug 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1813 Issued in ME
Practice address
58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Phone
(207) 604-5034
Fax
(207) 604-5038
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1813 ME Primary

Addresses

Primary practice location

58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656

Mailing address

58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Phone (207) 604-5034

Other identifiers 2

IdentifierTypeStateIssuer
280670099MedicaidME
E100136968OtherMEPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1813MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merideth C Norris PA Past Accepting new patients
Merideth Norris PA PastSince Dec 1, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1386684868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PORTLAND RD",
            "address_2": "SUITE 18",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436656",
            "telephone_number": "207-604-5034",
            "fax_number": "207-604-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PORTLAND RD",
            "address_2": "SUITE 18",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436656",
            "telephone_number": "207-604-5034",
            "fax_number": "207-604-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MERIDETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280670099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E100136968",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.