Active NPI
Melissa A Walters, PA-C
- Physician Assistant
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA695
- Practice address
- 121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672 - Phone
- (207) 729-7939
- Fax
- (207) 808-7894
- NPI assigned
- Mar 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA695 | ME | Primary |
Addresses
Primary practice location
121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Mailing address
121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Phone (207) 729-7939
Other practice location 1
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432043899 | Medicaid | ME |
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 Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Medical Ctr Dr
Suite 3100
Brunswick, ME 04011-2672
Phone (207) 729-7939
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Mid Coast Hospital
- Lincolnhealth
- Mainehealth Maine Medical Center
- Maine General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| State of Maine | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
109 Capitol St
#11
Augusta, ME 04330
656 State St
Bangor, ME 04401
Phone (207) 941-4000
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
121 Medical Center Dr
Ste 3100
Brunswick, ME 04011
Phone (207) 729-7939
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- mwalters1233@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Psychiatric Hospital
- Bangor, ME
- NPI 1699776146
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Ophthalmology Physician
- Portland, ME
- NPI 1730378894
-
- Psychiatric Hospital
- Augusta, ME
- NPI 1053319566
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1699890137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR STE 3100",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112672",
"telephone_number": "207-729-7939",
"fax_number": "207-808-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR STE 3100",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112672",
"telephone_number": "207-729-7939",
"fax_number": "207-808-7894"
}
],
"practiceLocations": [
{
"address_1": "24 Miles Center Way",
"address_purpose": "LOCATION",
"city": "Damariscotta",
"state": "ME",
"postal_code": "045434067",
"country_code": "US",
"telephone_number": "207-563-4811",
"fax_number": "207-810-2380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432043899",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.