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Active NPI 1063654911 Individual Practitioner Female Practitioner

Melanie R Small , ANP-BC

Nurse Practitioner • Freeport, ME

Professional Overview & Biography Verified Profile Summary

Melanie Small, ANP-BC is a registered healthcare professional specializing in Nurse Practitioner in Freeport, ME. Practice services are available at 5 CAMPUS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Campus Dr

Freeport, ME 040330003

Telephone 2075238550
Associated Practice Facility / Clinic
🏢 Intermed, Pa Facility NPI 1467422733

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Freeport, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Freeport, ME (460 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ME AP081014

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

1 Idexx Dr

Westbrook, ME 040922040

Phone: 2075566805

15 Casco St

Freeport, ME 040330002

Phone: 2075238550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1255634200

Licensed Clinical Professional Counselor, Certified Rehabilitation Counselor

Jessica Neugebauer , PT

Physical Therapist

NPI 1265156061

Physical Therapist

Lisa Swanberg , FNP

Nurse Practitioner - Family

NPI 1659859015

Family Nurse Practitioner

Amanda Myers , FNP

Nurse Practitioner

NPI 1700854791

Family Nurse Practitioner

Tina Weaver , PT

Physical Therapist

NPI 1902512361

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address March 04, 2026

Registered at 100 GANNETT DR STE C, SOUTH PORTLAND, ME 041065900 (Tel: 2073472947)

📍
Updated Practice Location October 09, 2025

Registered at 5 CAMPUS DR, FREEPORT, ME 040330003 (Tel: 2075238550)

📍
Updated Business Mailing Address October 09, 2025

Registered at 300 SOUTHBOROUGH DR STE 120, SOUTH PORTLAND, ME 041066978 (Tel: 2073472947)

NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2009

Registered at 259 MAIN ST., YARMOUTH, ME 04096 (Tel: 2078280361)

📍
Updated Business Mailing Address March 24, 2009

Registered at 100 FODEN RD, WEST, SUITE 203, SO PORTLAND, ME 04106 (Tel: 2078280361)

👤
Provider Name / Credentials Updated March 24, 2009

Recorded as MELANIE SMALL, ANP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Nurse Practitioner (License #AP081014 in ME)

🟢
Initial NPI Registration & Enumeration March 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063654911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2009
Last Update: March 04, 2026
Sole Proprietor: No

Mailing Address

100 Gannett Dr Ste C

South Portland, ME 041065900

Phone: 2073472947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.