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

Rachel A Petracca, APRN

Individual provider Women's Health Nurse Practitioner · NPI 1063187151

Rachel A Petracca, APRN is a Nurse Practitioner in Portland, Maine. Qualified in 2021, 5 years ago. Practices with Intermed PA, a 185-clinician group and accepts Medicare assignment. Licensed in Connecticut and Maine.

Years since qualifying
5
Licensed in
CT, ME
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

84 Marginal Way Ste 900
Portland, ME 04101-2476
Phone: (207) 874-2445
Fax: (207) 523-8598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence CNP221022 (ME)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 000000000 (CT)

Record details

NPI number1063187151
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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