NPIMap

Individual provider Active NPI

Angela Sabol Amano, NP

  • Acute Care Nurse Practitioner
  • Portland, ME
National Provider Identifier
1720313232
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP201491 Issued in ME
Practice address
887 Congress St
Portland, ME 04102-3100
Phone
(207) 774-6368
NPI assigned
Oct 16, 2009
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 278930 MA
Acute Care Nurse Practitioner 363LA2100X CNP201491 ME Primary

Addresses

Primary practice location

887 Congress St
Portland, ME 04102-3100

Mailing address

15 Cranbrook Dr
Cape Elizabeth, ME 04107-2119
Phone (570) 709-1737

Other practice location 1

67 Belmont St
Worcester, MA 01605-2657
Phone (508) 334-8996

Other names 1

  • Angela Sabol Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517001747 ME Practitioner - Nurse Practitioner 9739220583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

887 Congress St
Suite 200
Portland, ME 04102-3166
Phone (207) 771-5549

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

State licenses

LicenseStateTypeSpecialty
278930MAMDDermatology Physician
CNP201491MEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 3, 2021 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince May 3, 2021 Accepting new patients
Mainehealth CurrentSince May 3, 2021 Accepting new patients
Mainehealth Current Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

887 Congress St
Ste 400
Portland, ME 04102
Phone (207) 774-6368

Interoperability endpoints

  • Direct secure messaging: aamano366440@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1720313232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRANBROOK DR",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072119",
            "telephone_number": "570-709-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023100",
            "telephone_number": "207-774-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052657",
            "country_code": "US",
            "telephone_number": "508-334-8996",
            "fax_number": "508-334-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMANO",
        "first_name": "ANGELA",
        "middle_name": "SABOL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "278930",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP201491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SABOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.