KATHLEEN INGELLIS – Family Nurse Practitioner, NPI 1306583182
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 NURSE PRACTITIONER in ME
Provider Addresses for KATHLEEN INGELLIS
400 Congress St
Portland, ME 041013515
Phone: (323) 205-7088
Type: Location
457 SUMMIT ST
PORTLAND, ME 041032119
Phone: (203) 577-9660
Type: Mailing
1155 LISBON ST
LEWISTON, ME 042405025
Phone: (207) 783-9141
Type: Location
91 AUBURN ST
STE J #1180
PORTLAND, ME 041032119
Phone: (203) 577-9660
Type: Mailing
15 OAK ST
SPRINGVALE, ME 040831926
Phone: (207) 490-6900
Fax: (207) 459-2822
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Braeburn Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $19 |
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: 2022-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220826000168 | I | Nurse Practitioner | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 18 | $0 |
Insurance plans in this area (ZIP 04101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | ME | |
| Family Practice | AZ | |
| - | LA | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Nurse Practitioner | ME |
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