Individual provider Active NPI

Kathleen Philbrick, NP

  • Nurse Practitioner
  • Rockport, ME
National Provider Identifier
1053864462
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP161102 Issued in ME
Practice address
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone
(207) 921-5737
Fax
(207) 921-5337
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 CNP161102 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235

Mailing address

4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone (207) 921-5737

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
I20161006001437 ME Practitioner - Nurse Practitioner 8426346420 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town of IslesboroGroup PAC ID 7911155940, 8 clinicians

Practice addresses (Care Compare)

150 Main Rd
Islesboro, ME 04848-4508
Phone (207) 734-2213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP161102MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Penobscot Bay Physicians & Associates CurrentSince Sep 12, 2016 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Town of Islesboro CurrentSince Aug 5, 2025 Accepting new patients
Mainehealth CurrentSince Nov 1, 2016 Accepting new patients
Bangor Plastic and Hand Surgery, P.a. CurrentSince Jan 30, 2024 Accepting new patients
Mainehealth CurrentSince Mar 29, 2017 Accepting new patients

Locations

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

55 Broadway
Bangor, ME 04401
Phone (207) 947-0469

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

150 Main Rd
Islesboro, ME 04848
Phone (207) 734-1958

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1053864462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBRICK",
        "first_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP161102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.