HEATHER GEORGIANNA BEVERIDGE (CNM) – Primary Care Nurse Practitioner, NPI 1083870620

HEATHER GEORGIANNA BEVERIDGE (CNM) is a healthcare provider. based in Portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials CNM. They hold a License No. CNP141049 (ME). The NPI Number for HEATHER GEORGIANNA BEVERIDGE (CNM) is 1083870620

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER GEORGIANNA BEVERIDGE (CNM)
NPI
1083870620
Phone
(907) 662-8000
Address
22 Bramhall St
Enumeration Date
4 August 2008
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077955646
Graduation Year
2014 (12 years ago)
PAC ID
9133288293
Group Practice PAC ID
3375774227
Professional Enrollment ID
I20150602001027
Address ID
ME042407027LE300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for HEATHER GEORGIANNA BEVERIDGE (CNM)

  • 22 Bramhall St

    Portland, ME 041023175

    Phone: (907) 662-8000

    Type: Location

  • 25 June St

    Sanford, ME 040732621

    Phone: (207) 490-7450

    Fax: (207) 490-7452

    Type: Location

  • 1 Medical Center Dr

    Biddeford, ME 040059422

    Phone: (207) 294-5000

    Fax: (207) 294-5227

    Type: Location

  • 335 Brighton Ave

    Portland, ME 041022363

    Phone: (207) 662-8000

    Fax: (207) 662-6234

    Type: Location

  • Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407027

    Phone: (207) 795-0111

    Fax: (207) 795-2766

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140115000243ICertified Nurse Midwife (Cnm)METBD
I20150602001027INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making3838$0
99283Emergency department visit with low level of medical decision making2424$0
99285Emergency department visit with high level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375774227View full group profile
NameSpecialtyState
Emergency MedicineCT
Emergency MedicineME
Physician AssistantNH
Emergency MedicineNH
-MA
Emergency MedicineMD
Emergency MedicineNH
Emergency MedicineMA
Emergency MedicineME
Emergency MedicineRI

Reviews

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Frequently asked questions

What is the standard ID for HEATHER GEORGIANNA BEVERIDGE (CNM) in the U.S.?
In the U.S., HEATHER GEORGIANNA BEVERIDGE (CNM) is identified by NPI 1083870620.
Is HEATHER GEORGIANNA BEVERIDGE (CNM)'s NPI status active today?
Active status means HEATHER GEORGIANNA BEVERIDGE (CNM)'s NPI record is not deactivated in the public file.
What type of care does HEATHER GEORGIANNA BEVERIDGE (CNM) provide?
HEATHER GEORGIANNA BEVERIDGE (CNM)'s profile centers on Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HEATHER GEORGIANNA BEVERIDGE (CNM)?
HEATHER GEORGIANNA BEVERIDGE (CNM) is associated with Portland, Maine in the same public data insurers reference.
Who maintains HEATHER GEORGIANNA BEVERIDGE (CNM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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