Individual provider Active NPI

Amanda Elizabeth Magnoli, ANP-BC

  • Nurse Practitioner
  • Westbrook, ME
National Provider Identifier
1689945420
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP151089 Issued in ME
Practice address
11 Rock Row Ste 320
Westbrook, ME 04092-4877
Phone
(207) 303-3300
Fax
(207) 250-2139
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 846102 TX
Nurse Practitioner 363L00000X CNP151089 ME Primary
Adult Health Nurse Practitioner 363LA2200X 004742 CT

Addresses

Primary practice location

11 Rock Row Ste 320
Westbrook, ME 04092-4877

Mailing address

PO Box 911
Brattleboro, VT 05302-0911
Phone (207) 303-3200

Other practice location 1

105 Topsham Fair Mall Rd Unit 1
Topsham, ME 04086-1773
Phone (207) 303-3300

Other practice location 2

11 Rock Row Ste 120
Westbrook, ME 04092-4877
Phone (207) 303-3300

Other practice location 3

15 Rock Row Ste 110
Westbrook, ME 04092-4877
Phone (207) 303-3300

Other practice location 4

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

Other identifiers 2

IdentifierTypeStateIssuer
328301201MedicaidTX
8148NFOtherTXBCBS

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
I20150914001892 ME Practitioner - Nurse Practitioner 8527229913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Center for Cancer Medicine & Blood Disorders, P.a. Nurse Practitioner CurrentSince Aug 1, 2015 Accepting new patients
Maine Center of Cancer Medicine & Blood Disorders Past Accepting new patients

Locations

2 Independence Dr
Kennebunk, ME 04043
Phone (207) 303-3300

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

105 Topsham Fair Mall Rd
Unit 1
Topsham, ME 04086
Phone (207) 303-3300

15 Rock Row
Ste 110
Westbrook, ME 04092
Phone (207) 303-3300

11 Rock Row
Ste 120
Westbrook, ME 04092
Phone (207) 303-3000

11 Rock Row
Ste 320
Westbrook, ME 04092
Phone (207) 303-3300

Organizations & group practices 2

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 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1689945420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020911",
            "telephone_number": "207-303-3200",
            "fax_number": "207-250-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 320",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Topsham Fair Mall Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040861773",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Rock Row Ste 120",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924877",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Rock Row Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924877",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436078",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNOLI",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "846102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP151089",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328301201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8148NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.