NICOLE RENDALL
NPI 1588399752
Nurse Practitioner - Family in Portland, ME

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment
66 BRAMHALL ST STE G1, PORTLAND, ME 04102(207) 662-3157 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Jul 20, 2022 (2 updates tracked since 2022).

About Nicole Rendall NPPES

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

NICOLE RENDALL (NPI 1588399752) is an individual family provider in Portland, Maine, licensed in Maine (CNP221344) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in El Segundo.

NPPES Registry Identity

NPI1588399752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE RENDALL
Location Address66 BRAMHALL ST STE G1Portland, ME 04102-3344
Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2022
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1588399752 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 · CNP221344
66 BRAMHALL ST STE G1, Portland, ME 04102

Secondary Practice Location 1

Location 1222 N Pacific Coast Hwy Ste 2175El Segundo, CA 90245-5639 · Phone (877) 878-3289

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

Nicole Rendall 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 ID3577934694
PECOS Enrollment IDI20230126003071
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

3

Medicare enrollment records show Nicole Rendall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
66 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 203 clinicians in this Medicare group
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Surgery
1175 DENTON ST
Beaumont, TX 77707
  • Reassigned Medicare billing, Maine enrollment
  • 11 clinicians in this Medicare group

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
205 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
176 services56 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
60 services39 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
54 services52 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
40 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
17 services13 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 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 8

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

Physician Assistant
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Nurse Practitioner (Psychiatric/Mental Health)
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Nurse Practitioner (Family)
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Internal Medicine (Geriatric Medicine)
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Internal Medicine
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Physician Assistant
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Family Medicine (Geriatric Medicine)
66 BRAMHALL ST STE G1
PORTLAND, ME 04102
Nurse Practitioner (Family)
66 BRAMHALL ST STE G1
PORTLAND, ME 04102

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 Rendall's NPI number?

The NPI number for Nicole Rendall is 1588399752. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Nicole Rendall located?

Nicole Rendall practices at 66 Bramhall St Ste G1, Portland, ME 04102. The listed phone number is (207) 662-3157.

What is Nicole Rendall's specialty?

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

Is Nicole Rendall enrolled in Medicare?

Yes. Nicole Rendall 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 organizations bill Medicare for Nicole Rendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rendall reassigns Medicare benefits to 3 organizations: Maine Medical Partners (Portland, ME), Mainehealth (Portland, ME) and Robert Marriott Medical Corp (Beaumont, TX). 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 Rendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Rendall affiliated with any hospitals?

According to CMS data, Nicole Rendall is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Rendall was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.