KIMBERLY R. PETTENGILL (FNP) – Family Nurse Practitioner, NPI 1942674742

KIMBERLY R. PETTENGILL (FNP) is a healthcare provider. based in Leeds, Maine. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. CNP151177 (ME). The NPI Number for KIMBERLY R. PETTENGILL (FNP) is 1942674742

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY R. PETTENGILL (FNP)
NPI
1942674742
Phone
(207) 524-3501
Address
180 CHURCH HILL RD STE 1
Enumeration Date
18 November 2015
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079339646
Graduation Year
2015 (11 years ago)
PAC ID
7113229154
Group Practice PAC ID
3274502000
Professional Enrollment ID
I20160107000672
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY R. PETTENGILL (FNP)

  • 180 CHURCH HILL RD STE 1

    LEEDS, ME 042633418

    Phone: (207) 524-3501

    Fax: (207) 524-2093

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 04263)

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Provider's Procedures

KIMBERLY R. PETTENGILL (FNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERME83036Hemoglobin A1C level5148

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: 3274502000View full group profile

Reviews

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Frequently asked questions

Where can patients find KIMBERLY R. PETTENGILL (FNP)'s NPI?
You can confirm KIMBERLY R. PETTENGILL (FNP) with NPI 1942674742; it appears in the national provider directory.
Is KIMBERLY R. PETTENGILL (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KIMBERLY R. PETTENGILL (FNP)'s specialty in plain language?
Clinically, the directory lists KIMBERLY R. PETTENGILL (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KIMBERLY R. PETTENGILL (FNP)?
The snapshot lists Leeds, Maine for KIMBERLY R. PETTENGILL (FNP); download NPPES for the complete set.
Is KIMBERLY R. PETTENGILL (FNP) a real provider?
This page reflects official NPPES data for NPI 1942674742. Always confirm identity and privileges with the practice and licensing boards.

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