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

Noelle Christine Cooper, AGNP-C

Individual provider Nurse Practitioner · NPI 1033633714

Noelle Christine Cooper, AGNP-C is a Nurse Practitioner in South Portland, Maine. Qualified in 2017, 9 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Maine.

Years since qualifying
9
Licensed in
MA, ME
In the registry since
2017
Specialties on file
2

Practice location Address checks out

265 Western Ave
South Portland, ME 04106-2458
Phone: (207) 661-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2696 — (623) 680-7661

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP171115 (ME)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2333460 (MA)

Record details

NPI number1033633714
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedAugust 3, 2017
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in South Portland