Active NPI
Independent Wound Care PLLC
- Nurse Practitioner
- Portland, ME
National Provider Identifier
1609752062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- INDEPENDENT WOUND CARE PLLC
- Practice address
- 19 Brandon Street
Portland, ME 04103 - Phone
- (207) 615-9940
- NPI assigned
- Aug 12, 2025
- Last updated
- Aug 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. James Leslie Murphy
- Title
- Director of Commercial Operations
- Phone
- (207) 615-9940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
19 Brandon Street
Portland, ME 04103
Mailing address
91 Auburn St Ste J
Portland, ME 04103-6014
Phone (207) 615-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1609752062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 AUBURN ST STE J",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036014",
"telephone_number": "207-615-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRANDON STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-615-9940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT WOUND CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"certification_date": "2025-08-08",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "DIRECTOR OF COMMERCIAL OPERATIONS",
"authorized_official_telephone_number": "207-615-9940",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.