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LORI NICHOLAS PMHNP-BC
NPI 1275900102
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since August 26, 2015PECOS EnrolledAccepts Medicare Assignment
180 PARK AVE, PORTLAND, ME 04102(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori Nicholas Pmhnp-bc NPPES

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

LORI NICHOLAS PMHNP-BC (NPI 1275900102) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (CNP151108) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275900102
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORI NICHOLASCredential: PMHNP-BC
Location Address180 PARK AVEPortland, ME 04102-2957
Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141 · Fax (207) 874-2164
Phone(207) 874-2141
Fax(207) 874-2164
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 26, 2015
Last NPPES UpdateDecember 13, 2017
✔ NPI 1275900102 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 · CNP151108
180 PARK AVE, Portland, ME 04102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

Lori Nicholas Pmhnp-bc 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 ID7012298219
PECOS Enrollment IDI20161230000779
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 04102 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 20

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

MR. PETER O'DONNELL NP
Nurse Practitioner
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 828-2402
KRISTEN STOGSDILL RN
Registered Nurse
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
ELIZABETH FRUTIGER MD
Family Medicine
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
ALICE M MERRITT RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
VALERIE ANNE BRAMBLE RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
HEIDI SISTARE
Social Worker (Clinical)
180 PARK AVE
PORTLAND, ME 04102
Cumberland County (207) 874-2141
TIFFANY A BOURQUE RN
Registered Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141
RENEE D LOWELL LPN
Licensed Practical Nurse
180 PARK AVE, FIRST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 874-2141

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 Lori Nicholas's NPI number?

The NPI number for Lori Nicholas is 1275900102. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Lori Nicholas located?

Lori Nicholas practices at 180 Park Ave, Portland, ME 04102. The listed phone number is (207) 874-2141.

What is Lori Nicholas's specialty?

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

Is Lori Nicholas enrolled in Medicare?

Yes. Lori Nicholas 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.

What insurance does Lori Nicholas accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Lori Nicholas 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.

When was this NPI record last updated?

The NPPES record for Lori Nicholas was last updated on December 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.