IndividualActive
Mackenzie Grant, ACPNP
NPI 1558992552 · Pediatric Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1558992552
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2300770 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 772-8850
Street-level locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Additional practice locations (3)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
- 818 Congress StPortland, ME 04102-3112Phone: (207) 773-8161Fax: (207) 773-1489
- 71 US Route 1 Ste CScarborough, ME 04074-7174Phone: (207) 883-5532Fax: (207) 883-5552
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.