Active NPI
Gayle E Myers, MSN ANP
- Adult Health Nurse Practitioner
- South Portland, ME
National Provider Identifier
1447220728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP81087
- Practice address
- 169 Ocean St Ste 104
South Portland, ME 04106-3636 - Phone
- (207) 712-6068
- Fax
- (207) 747-4424
- NPI assigned
- Jan 26, 2006
- Last updated
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP81087 | ME | Primary |
Addresses
Primary practice location
169 Ocean St Ste 104
South Portland, ME 04106-3636
Mailing address
301 US Route 1
Scarborough, ME 04074-7609
Phone (207) 396-8600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432313599 | Medicaid | ME | |
| 30344481 | Medicaid | ME | |
| 30344481 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81087 | ME | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Health & Wellness | Current | Accepting new patients | |
| Gem Healthcare Services | Past | Accepting new patients | |
| Southern Maine Geriatrics Associates LLC | Adult Health | Past | Accepting new patients |
| Max Health Maine LLC | Past | Accepting new patients |
Locations
169 Ocean St
Ste 104
South Portland, ME 04106
Phone (207) 712-6068
Interoperability endpoints
- https://api.platform.athenahealth.com/4083/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gayle E. Myers, CNP
- Primary Care Nurse Practitioner
- South Portland, ME
- NPI 1992277008
-
- Primary Care Clinic/Center
- Cape Elizabeth, ME
- NPI 1851661516
-
- Geriatric Medicine (Internal Medicine) Physician
- Freeport, ME
- NPI 1366553091
Adult Health
-
- Community Based Hospice Care Agency
- Irvine, CA
- NPI 1255913299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1447220728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747609",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 OCEAN ST STE 104",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063636",
"telephone_number": "207-712-6068",
"fax_number": "207-747-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "GAYLE",
"middle_name": "E",
"credential": "MSN ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ME",
"license": "CNP81087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432313599",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30344481",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30344481",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.