Active NPI
Sara Randolph Smith, N.P.
- Adult Health Nurse Practitioner
- Cape Elizabeth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP211016
- Practice address
- MMP Cape Elizabeth Internal Medicine
155 Spurwink Ave
Cape Elizabeth, ME 04107 - Phone
- (207) 767-2174
- NPI assigned
- Feb 19, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP211016 | ME | Primary |
Addresses
Primary practice location
MMP Cape Elizabeth Internal Medicine
155 Spurwink Ave
Cape Elizabeth, ME 04107
Mailing address
MMP Cape Elizabeth Internal Medicine
155 Spurwink Ave
Cape Elizabeth, ME 04107
Phone (207) 767-2174
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Spurwink Ave
Cape Elizabeth, ME 04107-9604
Phone (207) 767-2174
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Martin'S Point Health Care, Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
575 Main St
Gorham, ME 04038
Phone (207) 839-2559
155 Spurwink Ave
Portland, ME 04107
Phone (207) 767-2174
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- ssmith643185@direct.mmc.mainehealth.org
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
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": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1831581446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MMP CAPE ELIZABETH INTERNAL MEDICINE",
"address_2": "155 SPURWINK AVE",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "04107",
"telephone_number": "207-767-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMP CAPE ELIZABETH INTERNAL MEDICINE",
"address_2": "155 SPURWINK AVE",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "04107",
"telephone_number": "207-767-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARA",
"middle_name": "RANDOLPH",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ME",
"license": "CNP211016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Elizabeth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.