Active NPI
Nicolas Robert Fenton, PA
- Physician Assistant
- Portland, ME
National Provider Identifier
1760079503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2331
- Practice address
- 331 Veranda St
Portland, ME 04103-5545 - Phone
- (207) 828-2402
- NPI assigned
- Dec 28, 2020
- Sex
- Male
- 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 | PA2331 | ME | Primary |
Addresses
Primary practice location
331 Veranda St
Portland, ME 04103-5545
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicolas.fenton.1@5857.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220513001285 | ME | Practitioner - Physician Assistant | 8022495076 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin'S Point Health Care, Inc.
Practice addresses (Care Compare)
153 US Route 1
Scarborough, ME 04074-9052
Phone (207) 799-8596
331 Veranda St
Portland, ME 04103-5545
Phone (207) 828-2402
74 Baribeau Dr
Brunswick, ME 04011-3218
Phone (207) 798-4050
Hospital & facility affiliations
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Point Health Care, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
ME, Physician Assistant
Hospital & facility affiliations 38
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": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1760079503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9746",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045040",
"telephone_number": "207-791-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 VERANDA ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035545",
"telephone_number": "207-828-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "NICOLAS",
"middle_name": "ROBERT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-28",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2331",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicolas.fenton.1@5857.direct.athenahealth.com",
"affiliation": "N",
"address_1": "331 Veranda St",
"city": "Portland",
"state": "ME",
"country_code": "US",
"postal_code": "041035545",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 26, 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.