KATHLEEN MONEGHAN (PA-C) – Physician Assistant, NPI 1306224670

KATHLEEN MONEGHAN (PA-C) is a healthcare provider. based in Fort kent, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1526 (ME). The NPI Number for KATHLEEN MONEGHAN (PA-C) is 1306224670

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MONEGHAN (PA-C)
NPI
1306224670
Phone
(207) 834-1430
Address
194 E MAIN ST
Enumeration Date
7 May 2015
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074125200
Graduation Year
2014 (12 years ago)
PAC ID
2466766019
Group Practice PAC ID
5193186492
Professional Enrollment ID
I20150728003067
Address ID
ME046051715EL235XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for KATHLEEN MONEGHAN (PA-C)

  • 194 E MAIN ST

    FORT KENT, ME 047431428

    Phone: (207) 834-1430

    Fax: (207) 834-5388

    Type: Mailing

  • 543 Broadway

    Bangor, ME 044013337

    Phone: (207) 922-1300

    Type: Location

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 $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($86).

Total Amount

$86

General + Research + Ownership

Payments

1

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$86
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: 2015-07-28

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
I20150728003067IPhysician AssistantMETBD

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 04743)

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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: 5193186492View full group profile
NameSpecialtyState
Physician AssistantME
Physician AssistantNH
Physician AssistantNH
Physician AssistantNH
Nurse PractitionerNH
Physician AssistantMA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

Does KATHLEEN MONEGHAN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHLEEN MONEGHAN (PA-C) uses 1306224670.
Does the file indicate KATHLEEN MONEGHAN (PA-C) is practicing under active NPI?
Directory data currently reports KATHLEEN MONEGHAN (PA-C) as active.
What taxonomy line describes KATHLEEN MONEGHAN (PA-C)?
For research purposes, treat KATHLEEN MONEGHAN (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KATHLEEN MONEGHAN (PA-C) list a practice location?
Patients near Fort Kent, Maine may find KATHLEEN MONEGHAN (PA-C) in results; validate coverage separately.
Is the information about KATHLEEN MONEGHAN (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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