Active NPI
Emily P F Delldonna, RN, APRN
- Nurse Practitioner
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP171041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30349837 | Medicaid | NH |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 066201-21 | NH | MD | Registered Nurse |
| 066201-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | 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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.