Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Irene Maccallum, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1629966759

Courtney Irene Maccallum, AGACNP is a Nurse Practitioner in Portland, Maine. Qualified in 2025, 1 year ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

887 Congress St Ste 400
Portland, ME 04102-3163
Phone: (207) 774-6368
Fax: (207) 774-9388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-0111

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP251297 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP251297 (ME)

Record details

NPI number1629966759
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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