1. Home
  2. Directory
  3. Maine
  4. Scarborough
  5. Nurse Practitioner
  6. NPI Profile

WILD HEART HEALTHCARE
NPI 1114859444
Nurse Practitioner in Scarborough, ME

Active since June 01, 2026CLIA 20D2351207 · Microscopy
7 PORTLAND FARMS RD, SCARBOROUGH, ME 04074(207) 522-9945 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wild Heart Healthcare NPPES

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

WILD HEART HEALTHCARE (NPI 1114859444) is a healthcare organization registered as a nurse practitioner in Scarborough, Maine and active in the NPI registry since June 2026. The organization holds a CLIA Microscopy certificate valid through September 22, 2028 and lists Anna Mead, Owner, as its authorized official.

NPPES Registry Identity

NPI1114859444
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWILD HEART HEALTHCARE
Location Address7 PORTLAND FARMS RDScarborough, ME 04074-5301
Mailing Address34 Sheffield StPortland, ME 04102-2707
Phone(207) 522-9945
Organization SubpartNo
Authorized OfficialAnna MeadOwner · (207) 522-9945
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1114859444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
7 PORTLAND FARMS RD, Scarborough, ME 04074
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D2351207

Wild Heart Healthcare · Scarborough, ME
Active · expires Sep 22, 2028
CLIA Number20D2351207
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorAlexis L. Nolan
Laboratory Phone(701) 205-4921
Laboratory LocationWild Heart Healthcare7 Portland Farms Rd Suite 4, Scarborough, ME 04074
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

MODERN COUPLES PROJECT, LLC
Counselor (Mental Health)
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 653-1496
DR. SIAN E LIEM OD
Optometrist
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 883-2809
DR. NATHAN E GOFF DMD
Dentist
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 883-0045
NICOLE B O'BRIEN LCSW LLC
Social Worker (Clinical)
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 232-7405
NICOLE O'BRIEN LCSW
Social Worker (Clinical)
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 232-7405
DR. KYLE STEPHEN BENNER O.D.
Optometrist
7 PORTLAND FARMS RD
SCARBOROUGH, ME 04074
Cumberland County (207) 883-2809

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 Wild Heart Healthcare's NPI number?

The NPI number for Wild Heart Healthcare is 1114859444. It was assigned to this organization in the NPPES registry on June 1, 2026.

Where is Wild Heart Healthcare located?

Wild Heart Healthcare is located at 7 Portland Farms Rd, Scarborough, ME 04074. The listed phone number is (207) 522-9945.

What is Wild Heart Healthcare's specialty?

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

Does Wild Heart Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D2351207) is associated with this NPI, valid through September 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wild Heart Healthcare was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.