Active NPI
Laura Kolker Mehler, PA-C
- Physician Assistant
- Portland, ME
National Provider Identifier
1730658808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2127
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-4735
- Fax
- (207) 662-6388
- NPI assigned
- Nov 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2127 | ME | Primary |
| Medical Oncology Physician | 207RX0202X | 0010-09184 | NC |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800
Other practice location 1
2301 Erwin Road Unit 9300
Durham, NC 27710-2621
Phone (919) 681-9341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730658808 | 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
- Duke University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Healthcare Partners PA
Practice addresses (Care Compare)
11 Rock Row
Westbrook, ME 04092-4877
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 871-2571
33 Sewall St
Portland, ME 04102-2603
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09184 | NC | MD | Medical Oncology Physician |
| PA2127 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, P.a | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Physician Assistant | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
33 Sewall St
Portland, ME 04102
Phone (207) 772-0076
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
11 Rock Row
Ste 2A
Westbrook, ME 04092
Phone (207) 289-3001
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Westbrook, ME
- NPI 1023619939
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
Physician Assistant
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
Hospital & facility affiliations 36
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": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1730658808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266",
"telephone_number": "207-482-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-4735",
"fax_number": "207-662-6388"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Road Unit 9300",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277102621",
"country_code": "US",
"telephone_number": "919-681-9341",
"fax_number": "919-681-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHLER",
"first_name": "LAURA",
"middle_name": "KOLKER",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2127",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "0010-09184",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730658808",
"state": "ME"
}
],
"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 Feb 12, 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.