Individual provider Active NPI

Kimberly Anne O'Dell, NP

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1982123527
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP171176 Issued in ME
Practice address
96 Campus Dr
Scarborough, ME 04074-7163
Phone
(207) 885-9905
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 36

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

View all 36

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PA 185 clinicians

Practice addresses (Care Compare)

100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489

100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180816000395 MA Practitioner - Nurse Practitioner 5799034278 Reassigns benefits to 1 organization
I20240806003934 ME Practitioner - Nurse Practitioner 5799034278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP171176MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed, PA CurrentSince Sep 16, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Physicians of Cape Cod Hospital Cardiovascular Disease CurrentSince Jul 13, 2018 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Mainehealth CurrentSince Sep 16, 2024 Accepting new patients
Mainehealth CurrentSince Sep 16, 2024 Accepting new patients
Intermed, PA Cardiovascular Disease CurrentSince Sep 16, 2024 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

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

96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

50 Foden Rd
Ste C
South Portland, ME 04106
Phone (207) 523-8500

50 Foden Rd
Ste 3
South Portland, ME 04106
Phone (207) 523-3700

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

Interoperability endpoints

  • Direct secure messaging: kodell880661@direct.mmc.mainehealth.org
  • Direct secure messaging: kimberly.o.dell.1@27522.direct.athenahealth.com
  • Direct secure messaging: kodell11549@direct.capecodhealthcare.masshiway.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2324474 MA
Family Nurse Practitioner 363LF0000X CNP171176 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

96 Campus Dr
Scarborough, ME 04074-7163

Mailing address

181 Campground Rd
Arundel, ME 04046-8307
Phone (914) 334-1111

Other practice location 1

50 Foden Rd Ste C
South Portland, ME 04106-1718
Phone (207) 523-8500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1982123527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CAMPGROUND RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468307",
            "telephone_number": "914-334-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747163",
            "telephone_number": "207-885-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Foden Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041061718",
            "country_code": "US",
            "telephone_number": "207-523-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2324474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.