Individual provider Active NPI

Marita Fichera, FNP-BC

  • Nurse Practitioner
  • Cape Elizabeth, ME
National Provider Identifier
1629426879
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP161182 Issued in ME
Practice address
155 Spurwink Ave
Cape Elizabeth, ME 04107
Phone
(207) 767-2174
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 CNP161182 ME Primary

Addresses

Primary practice location

155 Spurwink Ave
Cape Elizabeth, ME 04107

Mailing address

55 Spurwink Ave
Cape Elizabeth, ME 04107-9603
Phone (207) 767-2174

Other practice location 1

1185 Commonwealth Ave
Apt 17
Allston, MA 02134-2903
Phone (207) 653-2502

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
I20190507001831 ME Practitioner - Nurse Practitioner 6709168339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

155 Spurwink Ave
Cape Elizabeth, ME 04107-9604
Phone (207) 767-2174

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP161182MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Apr 19, 2019 Accepting new patients
Maine Medical Partners CurrentSince Apr 19, 2019 Accepting new patients
Mainehealth CurrentSince Apr 19, 2019 Accepting new patients
Mainehealth CurrentSince Apr 19, 2019 Accepting new patients
Maine Medical Partners CurrentSince Dec 15, 2020 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

155 Spurwink Ave
Portland, ME 04107
Phone (207) 767-2174

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: mstressenger252741@direct.mmc.mainehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1629426879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPURWINK AVE",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041079603",
            "telephone_number": "207-767-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SPURWINK AVE",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "04107",
            "telephone_number": "207-767-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 Commonwealth Ave",
            "address_2": "Apt 17",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021342903",
            "country_code": "US",
            "telephone_number": "207-653-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICHERA",
        "first_name": "MARITA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP161182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

Verify at the official NPI Registry.