MELANIE R SMALL ANP-BC
NPI 1063654911
Nurse Practitioner in Freeport, ME

Q: What is Melanie Small's NPI number?

The NPI number for Melanie Small is 1063654911. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Q: What is Melanie Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Small was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2009

5 CAMPUS DR, FREEPORT, ME 04033(207) 523-8550 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Oct 9, 2025 (2 updates tracked since 2025).

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About Melanie R Small Anp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE R SMALL ANP-BC (NPI 1063654911) is an individual nurse practitioner in Freeport, Maine, licensed in Maine (AP081014) and active in the NPI registry since March 2009. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063654911

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELANIE R SMALLCredential: ANP-BC

Location Address5 CAMPUS DRFreeport, ME 04033-0003

Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947

Phone(207) 523-8550

Sole ProprietorNo

Enumeration DateMarch 24, 2009

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1063654911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · AP081014

Definition

(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.

5 CAMPUS DR, Freeport, ME 04033

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Secondary Practice Locations 2

Location 11 Idexx DrWestbrook, ME 04092-2040 · Phone (207) 556-6805

Location 215 Casco StFreeport, ME 04033-0002 · Phone (207) 523-8550

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARI R HAUGEN LCPC, CRC

Counselor