NPIMap

Individual provider Active NPI

Kali Ann Waters, NP

  • Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1093406928
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP231114 Issued in ME
Practice address
121 Medical Center Dr Ste 2500
Brunswick, ME 04011-2667
Phone
(207) 373-6155
Fax
(207) 808-7761
NPI assigned
May 19, 2023
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 CNP231114 ME Primary

Addresses

Primary practice location

121 Medical Center Dr Ste 2500
Brunswick, ME 04011-2667

Mailing address

121 Medical Center Dr Ste 2500
Brunswick, ME 04011-2667
Phone (207) 373-6155

Other practice location 1

9 Healthcare Dr
Biddeford, ME 04005-9449
Phone (207) 283-1427

Other practice location 2

25A June St Ste 12
Sanford, ME 04073-2642
Phone (207) 490-7495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000151 ME Practitioner - Nurse Practitioner 3375989445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

25 A June St
Sanford, ME 04073-2642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP231114MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Care of Maine LLC CurrentSince Aug 5, 2024 Accepting new patients
Mainehealth CurrentSince Oct 27, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

600 Southborough Dr
Ste 103
South Portland, ME 04106
Phone (207) 345-6669

Organizations & group practices 4

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1093406928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 2500",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112667",
            "telephone_number": "207-373-6155",
            "fax_number": "207-808-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 2500",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112667",
            "telephone_number": "207-373-6155",
            "fax_number": "207-808-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Healthcare Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059449",
            "country_code": "US",
            "telephone_number": "207-283-1427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25A June St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732642",
            "country_code": "US",
            "telephone_number": "207-490-7495",
            "fax_number": "207-490-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KALI",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP231114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.