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Melanie R Small , ANP-BC

Nurse Practitioner β€’ Freeport, ME

Active NPI 1063654911 Individual Practitioner Female Practitioner
Practice location in NPPES

5 Campus Dr
Freeport, ME 040330003

Call 2075238550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5 Campus Dr

Freeport, ME 040330003

Telephone 2075238550
Organization at the Same NPPES Address or Phone
Intermed, Pa Facility NPI 1295607836

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Freeport, ME; Westbrook, ME. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Freeport and Maine

3 active clinicians are listed under Nurse Practitioner with a practice address in Freeport, ME (450 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES ME AP081014

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1 Idexx Dr

Westbrook, ME 040922040

Phone: 2075566805

15 Casco St

Freeport, ME 040330002

Phone: 2075238550

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Jessica Neugebauer , PT

Physical Therapist

NPI 1265156061

Physical Therapist

Lisa Swanberg , FNP

Nurse Practitioner - Family

NPI 1659859015

Family Nurse Practitioner

Tina Weaver , PT

Physical Therapist

NPI 1902512361

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address March 04, 2026

Registered at 100 GANNETT DR STE C, SOUTH PORTLAND, ME 041065900 (Tel: 2073472947)

πŸ“
Updated Practice Location October 09, 2025

Registered at 5 CAMPUS DR, FREEPORT, ME 040330003 (Tel: 2075238550)

πŸ“
Updated Business Mailing Address October 09, 2025

Registered at 300 SOUTHBOROUGH DR STE 120, SOUTH PORTLAND, ME 041066978 (Tel: 2073472947)

βœ…
NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2009

Registered at 259 MAIN ST., YARMOUTH, ME 04096 (Tel: 2078280361)

πŸ“
Business Mailing Address (Initial Record) March 24, 2009

Registered at 100 FODEN RD, WEST, SUITE 203, SO PORTLAND, ME 04106 (Tel: 2078280361)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2009

Recorded as MELANIE SMALL, ANP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Nurse Practitioner (license number reported to NPPES: ME AP081014)

🟒
Initial NPI Registration & Enumeration March 24, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063654911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2009
Last Update: March 04, 2026
Sole Proprietor: No

Mailing Address

100 Gannett Dr Ste C

South Portland, ME 041065900

Phone: 2073472947

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.