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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MELISSA NDOUBOUDI PMHNP
NPI 1114654621
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
23 OCEAN AVE STE 20, PORTLAND, ME 04103(207) 800-6656(207) 888-4564 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, May 20, 2025, Aug 4, 2022 (3 updates tracked since 2022).

About Melissa Ndouboudi Pmhnp NPPES

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

MELISSA NDOUBOUDI PMHNP (NPI 1114654621) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (CNP221413) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Windham, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114654621
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA NDOUBOUDICredential: PMHNP
Location Address23 OCEAN AVE STE 20Portland, ME 04103-5740
Mailing Address17 Mallison Falls RdWindham, ME 04062-4101
Phone(207) 800-6656
Fax(207) 888-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 4, 2022
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1114654621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP221413
23 OCEAN AVE STE 20, Portland, ME 04103
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Other Names 1

Other Name (5)Melissa Burwell

Secondary Practice Location 1

Location 117 Mallison Falls Rd Apt 2Windham, ME 04062-4101 · Phone (407) 484-6919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Ndouboudi Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678959400
PECOS Enrollment IDI20221003001350
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Ndouboudi's NPI number?

The NPI number for Melissa Ndouboudi is 1114654621. It was assigned to this individual provider in the NPPES registry on August 4, 2022. The provider is also known as Melissa Burwell.

Where is Melissa Ndouboudi located?

Melissa Ndouboudi practices at 23 Ocean Ave Ste 20, Portland, ME 04103. The listed phone number is (207) 800-6656.

What is Melissa Ndouboudi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Ndouboudi enrolled in Medicare?

Yes. Melissa Ndouboudi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Melissa Ndouboudi was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.