Individual provider Active NPI

Emily P F Delldonna, RN, APRN

  • Nurse Practitioner
  • Portland, ME
National Provider Identifier
1659636611
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP171041 Issued in ME
Practice address
175 Fore River Pkwy
Portland, ME 04102-2779
Phone
(207) 857-8040
Fax
(207) 275-4828
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 066201-21 NH
Family Nurse Practitioner 363LF0000X 066201-23 NH
Nurse Practitioner 363L00000X CNP171041 ME Primary

Addresses

Primary practice location

175 Fore River Pkwy
Portland, ME 04102-2779

Mailing address

50 Marquis Rd
Freeport, ME 04032-6477
Phone (207) 865-6131

Other practice location 1

11 Westminster Street
Walpole, NH 03431
Phone (603) 756-3960

Other practice location 2

50 Marquis Rd
Freeport, ME 04032-6477
Phone (207) 865-6131

Other identifiers 1

IdentifierTypeStateIssuer
30349837MedicaidNH

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
I20170919003796 ME Practitioner - Nurse Practitioner 3971753773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
066201-21NHMDRegistered Nurse
066201-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Jan 10, 2022 Accepting new patients
Mercy Hospital CurrentSince Jan 10, 2022 Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

29 Maurice Dr
Brunswick, ME 04011
Phone (207) 200-5907

102 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4200

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1659636611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARQUIS RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326477",
            "telephone_number": "207-865-6131",
            "fax_number": "207-865-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FORE RIVER PKWY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022779",
            "telephone_number": "207-857-8040",
            "fax_number": "207-275-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Westminster Street",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "NH",
            "postal_code": "03431",
            "country_code": "US",
            "telephone_number": "603-756-3960",
            "fax_number": "603-756-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Marquis Rd",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040326477",
            "country_code": "US",
            "telephone_number": "207-865-6131",
            "fax_number": "207-865-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLDONNA",
        "first_name": "EMILY",
        "middle_name": "P F",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "066201-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "066201-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP171041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30349837",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.