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NICOLE M DONAHUE CPNP
NPI 1336490804
Nurse Practitioner - Pediatrics in Waterville, ME

Active since September 25, 2012PECOS Enrolled
159 SILVER ST, WATERVILLE, ME 04901(207) 873-5437(207) 861-5448 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole M Donahue Cpnp NPPES

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

NICOLE M DONAHUE CPNP (NPI 1336490804) is an individual pediatrics provider in Waterville, Maine, licensed in Maine (CNP121090) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336490804
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE M DONAHUECredential: CPNP
Location Address159 SILVER STWaterville, ME 04901-5813
Mailing Address159 Silver StWaterville, ME 04901-5813 · (207) 873-5437 · Fax (207) 861-5448
Phone(207) 873-5437
Fax(207) 861-5448
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
✔ NPI 1336490804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ME · CNP121090
159 SILVER ST, Waterville, ME 04901
Open in Google Maps ↗

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, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M Donahue Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicole Donahue reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
26 mi
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Franklin Memorial Hospital
  • 72 clinicians in this Medicare group
NPI 1558305847 (207) 779-2356
Mainehealth
26 mi
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1922791417 (Maine)
  • 3,140 clinicians in this Medicare group
NPI 1609356419 (207) 779-2356

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 10

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

MR. CHARLES E DANIELSON M.D.
Pediatrics
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
JESSICA L RUBASHKIN CPNP
Nurse Practitioner (Pediatrics)
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
MICHAEL P HOFMANN M.D.
Pediatrics
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
KRISTY MITSUI CPNP-PC
Nurse Practitioner (Pediatrics)
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
CYNTHIA HOWES C.P.N.P.
Pediatrics
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
AMELIA BROCHU P.A.-C.
Pediatrics
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
GABRIELLE HARPELL M.D.
Pediatrics
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
WHITNEY GLYN LUTZ CPNP
Nurse Practitioner (Pediatrics)
159 SILVER ST
WATERVILLE, ME 04901
Kennebec County (207) 873-5437

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 Nicole Donahue's NPI number?

The NPI number for Nicole Donahue is 1336490804. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Nicole Donahue located?

Nicole Donahue practices at 159 Silver St, Waterville, ME 04901. The listed phone number is (207) 873-5437.

What is Nicole Donahue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Donahue enrolled in Medicare?

Yes. Nicole Donahue is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Donahue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Donahue reassigns Medicare benefits to 2 organizations: Mainehealth (Farmington, ME) and Mainehealth (Farmington, 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 Nicole Donahue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Donahue accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Nicole Donahue 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 Nicole Donahue was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.