Ms Nicole L Mizner, CPNP - Medicare Nurse Practitioner in Portland, ME

Ms Nicole L Mizner, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Portland, Maine. Her current practice location is 887 Congress St, Suite 310, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 773-2723.

Ms Nicole L Mizner is licensed to practice in Maine (license number AP091039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003049768.

Contact Information

Ms Nicole L Mizner, CPNP
887 Congress St, Suite 310,
Portland, ME 04102-3100
(207) 773-2723
(207) 773-3941



Provider's Profile

Full NameMs Nicole L Mizner
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location887 Congress St, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003049768
  • Provider Enumeration Date: 08/28/2009
  • Last Update Date: 08/28/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7618254426
  • Enrollment ID: I20170504000868

Medical Identifiers

Medical identifiers for Ms Nicole L Mizner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003049768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP091039 (Maine)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nicole L Mizner allows following entities to bill medicare on her behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104921535
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000274

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Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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Entity NamePediatric Cardiology Assoc Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346311925
PECOS PAC ID: 1557393220
Enrollment ID: O20050901000656

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› Verified 6 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole L Mizner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Nicole L Mizner, CPNP
887 Congress St, Suite 310,
Portland, ME 04102-3100

Ph: (207) 773-2723
Ms Nicole L Mizner, CPNP
887 Congress St, Suite 310,
Portland, ME 04102-3100

Ph: (207) 773-2723

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› Verified 6 days ago


Nurse Practitioner Nurses in Portland, ME

Patricia Mae Wieler, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 818 Congress St, Portland, ME 04102
Phone: 207-773-8161    
Olivia Polise,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-0111    
Ms. Kelly Irene Daly, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 51 Sewall St Ste 1, Portland, ME 04102
Phone: 207-774-5761    Fax: 207-874-7478
Katharine E Addicott, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2911    Fax: 207-662-6006
Leah Victoria Mahoney, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 66 Bramhall St, Portland, ME 04102
Phone: 207-662-3157    Fax: 207-662-4257
Lucy A Mack, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 161 Marginal Way, Portland, ME 04101
Phone: 207-773-7964    

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