DR. KATHRYN G WADLAND (MD) – Obstetrics & Gynecology Physician, NPI 1104994805

DR. KATHRYN G WADLAND (MD) is a healthcare provider. based in Portland, Maine. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 017376 (ME). The NPI Number for DR. KATHRYN G WADLAND (MD) is 1104994805

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN G WADLAND (MD)
NPI
1104994805
Phone
(207) 553-6920
Address
195 FORE RIVER PKWY
Enumeration Date
1 December 2006
Last Update Date
21 February 2012

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2078578174
Graduation Year
2003 (23 years ago)
PAC ID
1658465224
Group Practice PAC ID
6103737812
Professional Enrollment ID
I20070913000709
Address ID
ME040923188WE40XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

214 OBSTETRICS/GYNECOLOGY in ME

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Provider Addresses for DR. KATHRYN G WADLAND (MD)

  • 195, Fore River Parkway, Libbytown, Portland, Cumberland County, Maine, 04102, United States

    SUITE 440

    PORTLAND, ME 041022780

    Phone: (207) 553-6920

    Fax: (207) 553-6940

    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)

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: 2007-09-13

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
I20070913000709IObstetrics/GynecologyMETBD

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: 6103737812View full group profile
NameSpecialtyState
-ME
-VT
-ME
Nurse PractitionerPA
-ME
Family PracticeME
-ME
Nurse PractitionerNY
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

Does DR. KATHRYN G WADLAND (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KATHRYN G WADLAND (MD) uses 1104994805.
Does the file indicate DR. KATHRYN G WADLAND (MD) is practicing under active NPI?
Directory data currently reports DR. KATHRYN G WADLAND (MD) as active.
What is DR. KATHRYN G WADLAND (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. KATHRYN G WADLAND (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KATHRYN G WADLAND (MD)?
DR. KATHRYN G WADLAND (MD)'s geographic hint is Portland, Maine in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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