MARY ANN GAGNON APRN
NPI 1871601948
Nurse Practitioner - Primary Care in South Berwick, ME

Q: What is Mary Gagnon's NPI number?

The NPI number for Mary Gagnon is 1871601948. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Mary Gagnon'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 Mary Gagnon was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 28, 2006

31 COLCORD ST, SOUTH BERWICK, ME 03908(207) 384-4949(207) 384-4273 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2019, Jan 24, 2019 (2 updates tracked since 2019).

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About Mary Ann Gagnon Aprn NPPES

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

MARY ANN GAGNON APRN (NPI 1871601948) is an individual primary care provider in South Berwick, Maine, licensed in Maine (CNP81271) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1871601948

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARY ANN GAGNONCredential: APRN

Location Address31 COLCORD STSouth Berwick, ME 03908-1004

Mailing Address789 Central AveDover, NH 03820-2526 · (207) 451-9600 · Fax (207) 451-9603

Phone(207) 384-4949

Fax(207) 384-4273

Sole ProprietorNo

Enumeration DateAugust 28, 2006

Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration

✔ NPI 1871601948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

Licenses✔ Licensed in ME · CNP81271✔ Licensed in NH · 029774-23

31 COLCORD ST, South Berwick, ME 03908

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Other Identifiers 4

Other500022875NH · Rr Medicare

OtherP00991109ME · Rr Medicare

Medicaid1871601948ME

Medicaid3075766NH

Other Providers at the Same Location NPPES 4

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

MICHAEL C KUMIN MD

Family Medicine

31 COLCORD ST
SOUTH BERWICK, ME 03908

York County (207) 384-4949

RICARDO PLATA PA-C

Physician Assistant

31 COLCORD ST
SOUTH BERWICK, ME 03908

York County (207) 384-4949

CHERYL ANN CORRAO PA-C

Physician Assistant (Medical)

31 COLCORD ST
SOUTH BERWICK, ME 03908

York County (207) 384-4949

SALLY NAREDLA APRN, FNP-C

Nurse Practitioner (Family)

31 COLCORD ST
SOUTH BERWICK, ME 03908

York County (207) 384-4949

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 Mary Gagnon's NPI number?

The NPI number for Mary Gagnon is 1871601948. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Mary Gagnon located?

Mary Gagnon practices at 31 Colcord St, South Berwick, ME 03908. The listed phone number is (207) 384-4949.

What is Mary Gagnon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Gagnon was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.