VANESSA MARIE ILIAS (AGACNP-BC, APRN) – Acute Care Nurse Practitioner, NPI 1457015307

VANESSA MARIE ILIAS (AGACNP-BC, APRN) is a healthcare provider. based in Portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC, APRN. They hold a License No. CNP251221 (ME). The NPI Number for VANESSA MARIE ILIAS (AGACNP-BC, APRN) is 1457015307

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
VANESSA MARIE ILIAS (AGACNP-BC, APRN)
NPI
1457015307
Phone
(207) 662-2934
Address
22 BRAMHALL ST
Enumeration Date
27 October 2021
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2021 (5 years ago)
PAC ID
9830560945
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20250604003490
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for VANESSA MARIE ILIAS (AGACNP-BC, APRN)

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-2934

    Fax: (207) 662-6389

    Type: Mailing

  • 85 Seymour St Ste 425

    Hartford, CT 061065523

    Phone: (860) 548-7336

    Type: Location

  • 887 Congress St Ste 400

    Portland, ME 041023163

    Phone: (207) 774-6368

    Fax: (207) 774-9388

    Type: Location

  • 5415 COLLINS AVE APT 604

    MIAMI BEACH, FL 331402574

    Phone: (305) 778-6029

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: ConvaTec Inc. ($52).

Total Amount

$52

General + Research + Ownership

Payments

1

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ConvaTec Inc.$52
View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-04

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
I20230129000010INurse PractitionerCTTBD
I20250604003490INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the registry number for VANESSA MARIE ILIAS (AGACNP-BC, APRN)?
The registry entry for VANESSA MARIE ILIAS (AGACNP-BC, APRN) shows NPI 1457015307.
Does the public listing show VANESSA MARIE ILIAS (AGACNP-BC, APRN) as active?
VANESSA MARIE ILIAS (AGACNP-BC, APRN)'s NPI record reflects an active status in NPPES.
What type of care does VANESSA MARIE ILIAS (AGACNP-BC, APRN) provide?
VANESSA MARIE ILIAS (AGACNP-BC, APRN)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VANESSA MARIE ILIAS (AGACNP-BC, APRN)?
VANESSA MARIE ILIAS (AGACNP-BC, APRN) is associated with Portland, Maine in the same public data insurers reference.
Can I export VANESSA MARIE ILIAS (AGACNP-BC, APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.