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

Nicole Rendall

Individual provider Family Nurse Practitioner · NPI 1588399752

Nicole Rendall is a Nurse Practitioner in Portland, Maine. Qualified in 2022, 4 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2022
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Practice location Address checks out

66 Bramhall St Ste G1
Portland, ME 04102-3344
Phone: (207) 662-3157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 — (877) 878-3289

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP221344 (ME)

Record details

NPI number1588399752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing address35 Medical Center Pkwy, Augusta, ME 04330-8160

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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