Individual provider Active NPI

Kristin Morgan

  • Nurse Practitioner
  • Newport, ME
National Provider Identifier
1053176255
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP2321689 Issued in ME
Practice address
26 Main St
Newport, ME 04953-4162
Phone
(207) 368-5747
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP2321689 ME Primary

Addresses

Primary practice location

26 Main St
Newport, ME 04953-4162

Mailing address

1 McNally Ter
Newport, ME 04953-3144
Phone (802) 595-1371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301002915 ME Practitioner - Nurse Practitioner 3375988199 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP2321689MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Valley Health CurrentSince Mar 3, 2024 Accepting new patients
Sebasticook Valley Health CurrentSince Mar 3, 2024 Accepting new patients

Locations

26 Main St
Ste 2
Newport, ME 04953
Phone (207) 368-5747

26 Main St
Newport, ME 04953
Phone (207) 368-5747

8 Main St
Ste A
Newport, ME 04953
Phone (207) 368-4292

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1053176255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCNALLY TER",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533144",
            "telephone_number": "802-595-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534162",
            "telephone_number": "207-368-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP2321689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.