Individual provider Active NPI

Kaitlin Elizabeth Stolberg Cohen

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1083458608
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1163123 Issued in NH
Practice address
188 Jones Ave
Portsmouth, NH 03801-5516
Phone
(603) 431-2530
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP231566 ME
Family Nurse Practitioner 363LF0000X 1163123 NH Primary

Addresses

Primary practice location

188 Jones Ave
Portsmouth, NH 03801-5516

Mailing address

188 Jones Ave
Portsmouth, NH 03801-5516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240711002176 NH Practitioner - Nurse Practitioner 1658816806
I20250204001445 ME Practitioner - Nurse Practitioner 1658816806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

127 Long Sands Plaza
York Oncology
York, ME 03909-1158
Phone (207) 351-3777

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

Hospital & facility affiliations

  • York Hospital Home Care Home health agency, York, ME, CCN 207070
  • York Hospital Hospital, York, ME, CCN 200020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP231566MEMDFamily Nurse Practitioner
1163123NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Feb 3, 2025 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients

Locations

127 Long Sands Rd
York, ME 03909
Phone (207) 351-3715

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

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.

Hospital & facility affiliations 2

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1083458608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 JONES AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 JONES AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015516",
            "telephone_number": "603-431-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLBERG COHEN",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "1163123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.