KELLY LEMIEUX DUDLEY (NP-C) – Primary Care Nurse Practitioner, NPI 1053781492

KELLY LEMIEUX DUDLEY (NP-C) is a healthcare provider. based in Augusta, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. CNP151078 (ME). The NPI Number for KELLY LEMIEUX DUDLEY (NP-C) is 1053781492

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LEMIEUX DUDLEY (NP-C)
NPI
1053781492
Phone
(207) 624-3967
Address
250 ARSENAL ST
Enumeration Date
28 September 2015
Last Update Date
28 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076211000
Graduation Year
2015 (11 years ago)
PAC ID
7214294404
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20171124000164
Address ID
ME043308160AU35XXXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for KELLY LEMIEUX DUDLEY (NP-C)

  • 250 ARSENAL ST

    AUGUSTA, ME 043305742

    Phone: (207) 624-3967

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $688.

Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Grifols USA, LLC ($309).

Total Amount

$688

General + Research + Ownership

Payments

29

Total payment records

General Amount

$688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2017-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20171124000164INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes173137$0
99215Established patient office or other outpatient visit, 40-54 minutes8167$0
View full utilization report →

Insurance plans in this area (ZIP 04330)

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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: 1254245715View full group profile

Reviews

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Frequently asked questions

Is KELLY LEMIEUX DUDLEY (NP-C) listed with a National Provider Identifier?
Yes — KELLY LEMIEUX DUDLEY (NP-C) has NPI 1053781492 on file in the registry.
Is KELLY LEMIEUX DUDLEY (NP-C) still an active registrant?
KELLY LEMIEUX DUDLEY (NP-C) carries an active NPI according to the public dataset.
What expertise is attributed to KELLY LEMIEUX DUDLEY (NP-C)?
KELLY LEMIEUX DUDLEY (NP-C)'s specialty line reads Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLY LEMIEUX DUDLEY (NP-C) located near Augusta?
KELLY LEMIEUX DUDLEY (NP-C) currently maps to Augusta, Maine in this extract.
Can I trust this NPI listing for KELLY LEMIEUX DUDLEY (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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