CAROLINE JOY WILMOT CNP
NPI 1578085544
Nurse Practitioner - Primary Care in Portland, ME

Q: What is Caroline Wilmot's NPI number?

The NPI number for Caroline Wilmot is 1578085544. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Q: What is Caroline Wilmot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Wilmot was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment

84 MARGINAL WAY, PORTLAND, ME 04101(207) 774-5816(207) 523-8595 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Aug 4, 2025, Jul 12, 2017 (3 updates tracked since 2017).

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About Caroline Joy Wilmot Cnp NPPES

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

CAROLINE JOY WILMOT CNP (NPI 1578085544) is an individual primary care provider in Portland, Maine, licensed in Maine (CNP171072) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578085544

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameCAROLINE JOY WILMOTCredential: CNP

Location Address84 MARGINAL WAYPortland, ME 04101-2481

Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947 · Fax (207) 874-2317

Phone(207) 774-5816

Fax(207) 523-8595

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 12, 2017

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1578085544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in ME · CNP171072

Also ListedFamily MedicineTaxonomy 207Q00000X · License CNP171072 (ME)

84 MARGINAL WAY, Portland, ME 04101

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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

Caroline Joy Wilmot Cnp 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 ID6901237007

PECOS Enrollment IDI20200505001094

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 Caroline Wilmot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermed, PA

4.9 mi

Internal Medicine

100 GANNETT DR, SUITE C
South Portland, ME 04106

Reassigned Medicare billing, Maine enrollment
200 clinicians in this Medicare group

NPI 1467422733 (207) 828-0361

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

Areas of Expertise CMS Part B claims 15

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

1,019 services178 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

409 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

276 services142 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

212 services18 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

184 services22 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

72 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

72 services72 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

54 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

35 services35 patients

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.

33 services28 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

29 services14 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

23 services17 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

23 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

21 services18 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims32 services$6.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$91.22 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$31.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAROL M VAUGHAN MD

Obstetrics & Gynecology

84 MARGINAL WAY, SUITE 900
PORTLAND, ME 04101

Cumberland County (207) 874-2445

JOHN E ERICKSON MD

Internal Medicine

84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101

Cumberland County (207) 774-5816

CAROL FRESHLEY FNP

Nurse Practitioner (Family)

84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101

Cumberland County (207) 774-5816

JAMES C FOSTER MD

Pediatrics

84 MARGINAL WAY, SUITE 1000
PORTLAND, ME 04101

Cumberland County (207) 774-4092

MEAGAN SCHMERSAL NP

Nurse Practitioner (Family)

84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101

Cumberland County (207) 774-5816

MRS. KATHLEEN SHANNON BROWN ANP

Nurse Practitioner (Family)

84 MARGINAL WAY
PORTLAND, ME 04101

Cumberland County (207) 774-5816

MS. MICHELLE BELYEA PNP

Nurse Practitioner

84 MARGINAL WAY, SUITE 1000
PORTLAND, ME 04101

Cumberland County (207) 774-4092

DOUGLAS R BARR MD

Internal Medicine

84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101

Cumberland County (207) 774-5816

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 Caroline Wilmot's NPI number?

The NPI number for Caroline Wilmot is 1578085544. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Caroline Wilmot located?

Caroline Wilmot practices at 84 Marginal Way, Portland, ME 04101. The listed phone number is (207) 774-5816.

What is Caroline Wilmot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Caroline Wilmot enrolled in Medicare?

Yes. Caroline Wilmot 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 Caroline Wilmot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Wilmot reassigns Medicare benefits to Intermed, PA (South Portland, 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 Caroline Wilmot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caroline Wilmot affiliated with any hospitals?

According to CMS data, Caroline Wilmot is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Wilmot was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.