Active NPI
Sophia Anne Mediratta, AGPCNP
- Gerontology Nurse Practitioner
- Scarborough, ME
National Provider Identifier
1477354595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- CNP241651
- Practice address
- 96 Campus Dr
Scarborough, ME 04074-7163 - Phone
- (207) 885-9905
- Fax
- (207) 396-5600
- NPI assigned
- Mar 24, 2025
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | CNP241651 | ME | Primary |
Addresses
Primary practice location
96 Campus Dr
Scarborough, ME 04074-7163
Mailing address
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Other names 1
- Sophia Hoesch
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
4 Glen Cove Dr
Suite 205
Rockport, ME 04856-4237
Phone (207) 921-5700
96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905
Interoperability endpoints
- smediratta909621@direct.mmc.mainehealth.org
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1477354595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIRATTA",
"first_name": "SOPHIA",
"middle_name": "ANNE",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "ME",
"license": "CNP241651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "HOESCH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.