Active NPI
Sheri R. Clark, FNP
- Family Nurse Practitioner
- Scarborough, ME
National Provider Identifier
1821095241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP241483
- Practice address
- 153 US Route 1
Scarborough, ME 04074-7218 - Phone
- (207) 799-8596
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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, Nurse Practitioner
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- 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
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250116001674 | ME | Practitioner - Nurse Practitioner | 6608830872 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP241483 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Point Health Care, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Medford Medical Clinic, LLP | Nurse Practitioner | Past | Accepting new patients |
Locations
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
153 US Route 1
Scarborough, ME 04074
Phone (207) 799-8596
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP241483 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
153 US Route 1
Scarborough, ME 04074-7218
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 828-2449
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sheri.clark.1@5857.direct.athenahealth.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2024.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1821095241",
"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": "207-828-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747218",
"telephone_number": "207-799-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SHERI",
"middle_name": "R.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP241483",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sheri.clark.1@5857.direct.athenahealth.com",
"affiliation": "N",
"address_1": "153 US Route 1",
"city": "Scarborough",
"state": "ME",
"country_code": "US",
"postal_code": "040747218",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 25, 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.