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SOPHIA ANNE MEDIRATTA AGPCNP
NPI 1477354595
Nurse Practitioner - Gerontology in Scarborough, ME

Active since March 24, 2025PECOS EnrolledAccepts Medicare Assignment
96 CAMPUS DR, SCARBOROUGH, ME 04074(207) 885-9905(207) 396-5600 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Sophia Anne Mediratta Agpcnp NPPES

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

SOPHIA ANNE MEDIRATTA AGPCNP (NPI 1477354595) is an individual gerontology provider in Scarborough, Maine, licensed in Maine (CNP241651) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477354595
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSOPHIA ANNE MEDIRATTACredential: AGPCNP
Location Address96 CAMPUS DRScarborough, ME 04074-7163
Mailing Address96 Campus DrScarborough, ME 04074-7163 · (207) 885-9905 · Fax (207) 396-5600
Phone(207) 885-9905
Fax(207) 396-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2025
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1477354595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ME · CNP241651
96 CAMPUS DR, Scarborough, ME 04074
Open in Google Maps ↗

Other Names 1

Former Name (1)Sophia Hoesch Rn

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

Sophia Anne Mediratta Agpcnp 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 ID1759806201
PECOS Enrollment IDI20250417001463
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 Reassignment

Medicare enrollment records show Sophia Mediratta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maine Medical Partners
0.1 mi
Surgery
92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Mainehealth
  • 3,140 clinicians in this Medicare group
NPI 1346687167 (207) 774-6368

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 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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.

MS. HEATHER TOLMAN CHASE NP-C
Nurse Practitioner (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 885-9905
MIRLE A KELLETT M.D.
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611
DR. WARREN D ALPERN M.D.
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 396-5611
JULIA ASHLY SCHNEE RN
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-9905
SHELBY JEANNETTE COURTOIS FNP-C
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-9905
DR. ROBERT BENDER DO
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-9905
DR. SZYMON LUKASZ WIERNEK MD, PHD
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-9905
MRS. KRISTYN MICHELLE KEE FNP-C
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074
Cumberland County (603) 303-0108

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 Sophia Mediratta's NPI number?

The NPI number for Sophia Mediratta is 1477354595. It was assigned to this individual provider in the NPPES registry on March 24, 2025. The provider is also known as Sophia Hoesch Rn.

Where is Sophia Mediratta located?

Sophia Mediratta practices at 96 Campus Dr, Scarborough, ME 04074. The listed phone number is (207) 885-9905.

What is Sophia Mediratta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sophia Mediratta enrolled in Medicare?

Yes. Sophia Mediratta 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 organization bills Medicare for Sophia Mediratta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Mediratta reassigns Medicare benefits to Maine Medical Partners (Scarborough, ME). The 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 Sophia Mediratta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sophia Mediratta affiliated with any hospitals?

According to CMS data, Sophia Mediratta is affiliated with Maine Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Mediratta was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.