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SCOTT WHITNEY
NPI 1235955790
Nurse Practitioner in Portland, ME

Active since December 02, 2024PECOS EnrolledAccepts Medicare Assignment
91 AUBURN ST STE J, PORTLAND, ME 04103(207) 518-8869 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2025, Dec 2, 2024 (2 updates tracked since 2024).

About Scott Whitney NPPES

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

SCOTT WHITNEY (NPI 1235955790) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP241795) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235955790
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSCOTT WHITNEY
Location Address91 AUBURN ST STE JPortland, ME 04103-6014
Mailing Address33 County WayHolden, ME 04429 · (207) 316-3481
Phone(207) 518-8869
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 2, 2024
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1235955790 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 · CNP241795
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.
91 AUBURN ST STE J, Portland, ME 04103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Whitney 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 ID4385166552
PECOS Enrollment IDI20250317003203
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Whitney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Consultants PC
2.6 mi
Internal Medicine
335 BRIGHTON AVE
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 28 clinicians in this Medicare group
NPI 1619519873 (207) 775-4000
Pai Participant 7 PC
2.6 mi
Geriatric Medicine
367 US ROUTE 1 STE 3S
Falmouth, ME 04105
  • Reassigned Medicare billing, Maine enrollment
  • 26 clinicians in this Medicare group
NPI 1548829872 (207) 962-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 2

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

OLIVIA CHANCE LCSW, LADC
Social Worker (Clinical)
91 AUBURN ST STE J
PORTLAND, ME 04103
Cumberland County (207) 650-6670
KATE IRELAND LCPC
Counselor (Professional)
91 AUBURN ST STE J, #1066
PORTLAND, ME 04103
Cumberland County (207) 977-4552

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 Scott Whitney's NPI number?

The NPI number for Scott Whitney is 1235955790. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Scott Whitney located?

Scott Whitney practices at 91 Auburn St Ste J, Portland, ME 04103. The listed phone number is (207) 518-8869.

What is Scott Whitney's specialty?

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

Is Scott Whitney enrolled in Medicare?

Yes. Scott Whitney 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.

Which organizations bill Medicare for Scott Whitney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Whitney reassigns Medicare benefits to 2 organizations: Maine Medical Consultants PC (Portland, ME) and Pai Participant 7 PC (Falmouth, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Whitney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Whitney accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Scott Whitney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Whitney affiliated with any hospitals?

According to CMS data, Scott Whitney is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Whitney was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.