Individual provider Active NPI

Natasha Lynn Williamson, FNP-C

  • Family Nurse Practitioner
  • Gorham, ME
National Provider Identifier
1710529680
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191118 Issued in ME
Practice address
63 Hurricane Rd
Gorham, ME 04038-2414
Phone
(207) 831-4362
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP191118 ME Primary

Addresses

Primary practice location

63 Hurricane Rd
Gorham, ME 04038-2414

Mailing address

63 Hurricane Rd
Gorham, ME 04038-2414
Phone (207) 831-4362

Other practice location 1

950 Main St
Westbrook, ME 04092-3067
Phone (207) 517-3800

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
I20210225000898 ME Practitioner - Nurse Practitioner 6204241276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600

67 Pine Point Rd
Scarborough, ME 04074-8813
Phone (207) 883-2468

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP191118MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacopee Valley Health Center CurrentSince Nov 18, 2020 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince May 22, 2023 Accepting new patients
Mercy Hospital CurrentSince Jun 25, 2023 Accepting new patients
NWNP Direct, LLC CurrentSince Oct 13, 2019 Accepting new patients
Sacopee Valley Health Center CurrentSince Nov 18, 2020 Accepting new patients
Mercy Hospital CurrentSince Jun 25, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676

70 Main St
Porter, ME 04068
Phone (207) 625-8126

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

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

300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230

Organizations & group practices 6

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 2

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1710529680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HURRICANE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382414",
            "telephone_number": "207-831-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HURRICANE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382414",
            "telephone_number": "207-831-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Main St",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923067",
            "country_code": "US",
            "telephone_number": "207-517-3800",
            "fax_number": "207-517-3819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NATASHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.