Individual provider Active NPI

Liana Belle Kelly, FNP

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1649312638
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP91057 Issued in ME
Practice address
175 US Route 1
Scarborough, ME 04074-9048
Phone
(207) 396-7700
Fax
(207) 396-7701
NPI assigned
Feb 13, 2007
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113775-23 NH
Family Nurse Practitioner 363LF0000X CNP91057 ME Primary

Addresses

Primary practice location

175 US Route 1
Scarborough, ME 04074-9048

Mailing address

175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-0796

Other practice location 2

108 Centre St
Bath, ME 04530-2550
Phone (207) 386-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110512000282 ME Practitioner - Nurse Practitioner 9133305964 Reassigns benefits to 4 organizations
I20250715000798 NH Practitioner - Nurse Practitioner 9133305964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
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)

108 Centre St
Bath, ME 04530-2550

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113775-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 22, 2024 Accepting new patients
Mainehealth CurrentSince Jan 22, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Oct 25, 2021 Accepting new patients
Maine Medical Partners Family CurrentSince Oct 25, 2021 Accepting new patients
Central Maine Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Memorial Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Memorial Hospital CurrentSince Jun 30, 2025 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital CurrentSince Jun 30, 2025 Accepting new patients

Locations

108 Centre St
Bath, ME 04530
Phone (207) 386-1800

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

81 Medical Center Dr
Ste 2200
Brunswick, ME 04011
Phone (207) 406-7290

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

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

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: lkelly446567@direct.mmc.mainehealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1649312638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749048",
            "telephone_number": "207-396-7700",
            "fax_number": "207-396-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749048",
            "telephone_number": "207-396-7700",
            "fax_number": "207-396-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-0796",
            "fax_number": "603-356-3257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Centre St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "ME",
            "postal_code": "045302550",
            "country_code": "US",
            "telephone_number": "207-386-1990",
            "fax_number": "207-618-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LIANA",
        "middle_name": "BELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "113775-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP91057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.