ANNETTE O'GORMAN FNP-BC, APRN
NPI 1285693432
Nurse Practitioner - Family in Windham, ME

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
409 ROOSEVELT TRL, WINDHAM, ME 04062(207) 400-8600 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annette O'gorman Fnp-bc, Aprn NPPES

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

ANNETTE O'GORMAN FNP-BC, APRN (NPI 1285693432) is an individual family provider in Windham, Maine, licensed in Maine (81383) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in Gorham.

NPPES Registry Identity

NPI1285693432
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNETTE O'GORMANCredential: FNP-BC, APRN
Location Address409 ROOSEVELT TRLWindham, ME 04062-4821
Mailing Address409 Roosevelt Trail, Mercy Walk-in ClinicWindham, ME 04062 · (207) 400-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 17, 2006
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 27, 2025
NPI 1285693432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · 81383
409 ROOSEVELT TRL, Windham, ME 04062

Secondary Practice Location 1

Location 119 S Gorham XingGorham, ME 04038-2690 · Phone (207) 535-1400

Other Identifiers 4

Medicaid102380100ME
Medicaid154420000ME
Medicaid434093299ME
OtherNP439101ME · Med B - Pers For 200051

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

Annette O'gorman Fnp-bc, Aprn 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 ID4284626235
PECOS Enrollment IDI20040331001026
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04062 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 12

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

Physician Assistant
409 ROOSEVELT TRL
WINDHAM, ME 04062
General Acute Care Hospital
409 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Clinic/Center (Rural Health)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Nurse Practitioner (Family)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Family Medicine
409 ROOSEVELT TRL
WINDHAM, ME 04062
Pharmacist (Ambulatory Care)
409 ROOSEVELT TRL
WINDHAM, ME 04062
Family Medicine
409 ROOSEVELT TRL
WINDHAM, ME 04062

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 Annette O'gorman's NPI number?

The NPI number for Annette O'gorman is 1285693432. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Annette O'gorman located?

Annette O'gorman practices at 409 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 400-8600.

What is Annette O'gorman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Annette O'gorman enrolled in Medicare?

Yes. Annette O'gorman 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.

Is Annette O'gorman affiliated with any hospitals?

According to CMS data, Annette O'gorman is affiliated with Northern Light Health.

When was this NPI record last updated?

The NPPES record for Annette O'gorman was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.