Active NPI
Porchia Waugh, FNP-C
- Nurse Practitioner
- Bangor, ME
National Provider Identifier
1912478926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- GAA-NP000238
- Practice address
- 1012 Union St
Bangor, ME 04401-3060 - Phone
- (207) 404-8100
- NPI assigned
- Dec 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | L1-0050007 | DE | |
| Nurse Practitioner | 363L00000X | GAA-NP000238 | GA | Primary |
| Nurse Practitioner | 363L00000X | CNP181311 | ME |
Addresses
Primary practice location
1012 Union St
Bangor, ME 04401-3060
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2002 Summit Blvd NE
Atlanta, GA 30319-1410
Phone (973) 241-1356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP000238 | GA | MD | Nurse Practitioner |
| L1-0050007 | DE | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
Organizations & group practices 6
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1134002900
GA
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1922981695
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1912478926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 UNION ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013060",
"telephone_number": "207-404-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "PORCHIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DE",
"license": "L1-0050007",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP000238",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP181311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.