Active NPI
Mary-Ellen Souliere, FNP
- Family Nurse Practitioner
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP211167
- Practice address
- 92 Campus Dr Ste D
Scarborough, ME 04074-7229 - Phone
- (207) 662-8900
- Fax
- (207) 774-9388
- NPI assigned
- Apr 23, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP211167 | ME | Primary |
Addresses
Primary practice location
92 Campus Dr Ste D
Scarborough, ME 04074-7229
Mailing address
92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone (207) 662-8900
Other practice location 1
99 Campus Ave Ste 301
Lewiston, ME 04240-6045
Phone (207) 777-5300
Other practice location 2
335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 662-4325
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
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
92 Campus Dr
Scarborough, ME 04074-7229
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Mainehealth Mid Coast Hospital
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP211167 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Family | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients |
Locations
99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320
335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
92 Campus Dr
Ste D
Scarborough, ME 04074
Phone (207) 662-6782
592 W Main St
Waldoboro, ME 04572
Phone (207) 346-5066
Interoperability endpoints
- msouliere123710@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
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Family Medicine Physician
- Portland, ME
- NPI 1639194509
Hospital & facility affiliations 37
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": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1750963385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 CAMPUS DR STE D",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747229",
"telephone_number": "207-662-8900",
"fax_number": "207-774-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 CAMPUS DR STE D",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747229",
"telephone_number": "207-662-8900",
"fax_number": "207-774-9388"
}
],
"practiceLocations": [
{
"address_1": "99 Campus Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406045",
"country_code": "US",
"telephone_number": "207-777-5300",
"fax_number": "207-777-1276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Brighton Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022363",
"country_code": "US",
"telephone_number": "207-662-4325",
"fax_number": "207-662-8068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOULIERE",
"first_name": "MARY-ELLEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP211167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.