NPIMap

Individual provider Active NPI

Olivia Desena

  • Nurse Practitioner
  • Biddeford, ME
National Provider Identifier
1972141034
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP211084 Issued in ME
Practice address
26 W Cole Rd Ste 102
Biddeford, ME 04005-9407
Phone
(207) 756-0790
NPI assigned
Dec 19, 2019
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN65220 ME
Nurse Practitioner 363L00000X CNP211084 ME Primary

Addresses

Primary practice location

26 W Cole Rd Ste 102
Biddeford, ME 04005-9407

Mailing address

4 Ivie Rd
Cape Elizabeth, ME 04107-1714
Phone (207) 756-0790

Other practice location 1

1365 Clifton Road, NE
Clinic C
Atlanta, GA 30322
Phone (404) 778-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517000390 ME Practitioner - Nurse Practitioner 0840612503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

265 Western Ave
Suite 2
South Portland, ME 04106-2458
Phone (207) 396-7606

27 Industrial Ave
Suite 101
Sanford, ME 04073-5846
Phone (207) 459-1666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN65220MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 16, 2021 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Apr 16, 2021 Accepting new patients
Mainehealth CurrentSince Apr 16, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Crawford Long Hospital PastSince Dec 1, 2019 Accepting new patients

Locations

26 W Cole Rd
Ste 102
Biddeford, ME 04005
Phone (207) 294-5800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

Interoperability endpoints

  • Direct secure messaging: odesena367062@direct.mmc.mainehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1972141034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 IVIE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071714",
            "telephone_number": "207-756-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W COLE RD STE 102",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059407",
            "telephone_number": "207-756-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Road, NE",
            "address_2": "Clinic C",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30322",
            "country_code": "US",
            "telephone_number": "404-778-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESENA",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "RN65220",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP211084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.