NPIMap

Individual provider Active NPI

Kathryn Rensenbrink, MD

  • Internal Medicine Physician
  • Ellsworth, ME
National Provider Identifier
1124067194
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13915 Issued in ME
Practice address
32 Resort Way
Ellsworth, ME 04605-1717
Phone
(207) 664-7780
Fax
(207) 664-7723
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD13915 ME Primary

Addresses

Primary practice location

32 Resort Way
Ellsworth, ME 04605-1717

Mailing address

32 Resort Way
Ellsworth, ME 04605-1717
Phone (207) 664-7780

Other practice location 1

57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3995

Other identifiers 1

IdentifierTypeStateIssuer
1124067194MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krensenbrink@direct.emhs.org The Blue Hill Memorial Hospital

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
I20050818000612 ME Practitioner - Internal Medicine 9638109655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maine Coast Regional Health FacilitiesGroup PAC ID 1052208113, 73 clinicians

Practice addresses (Care Compare)

32 Resort Way
Ellsworth, ME 04605-1717

50 Union St
Ellsworth, ME 04605-1534

Hospital & facility affiliations

  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Centerwell Home Health Home health agency, Bangor, ME, CCN 207045
  • Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • Northern Light Blue Hill Memorial Hospital Hospital, Blue Hill, ME, CCN 201300
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Mount Desert Island Hospital Hospital, Bar Harbor, ME, CCN 201304
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD13915MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Oct 14, 2019 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jul 26, 1995 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Oct 14, 2019 Accepting new patients
Maine Coast Regional Health Facilities Internal Medicine CurrentSince Jul 26, 1995 Accepting new patients
St. Joseph Ambulatory Care Inc Past Accepting new patients

Locations

600 Main St
Bldg 11
Bar Harbor, ME 04609
Phone (207) 288-1600

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

32 Resort Way
Ellsworth, ME 04605
Phone (207) 664-5480

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

Organizations & group practices 5

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 9

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1124067194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 RESORT WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051717",
            "telephone_number": "207-664-7780",
            "fax_number": "207-664-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RESORT WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051717",
            "telephone_number": "207-664-7780",
            "fax_number": "207-664-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Water St",
            "address_purpose": "LOCATION",
            "city": "Blue Hill",
            "state": "ME",
            "postal_code": "046145231",
            "country_code": "US",
            "telephone_number": "207-374-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENSENBRINK",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD13915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124067194",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krensenbrink@direct.emhs.org",
            "affiliation": "Y",
            "affiliationName": "The Blue Hill Memorial Hospital",
            "address_1": "57 Water Street",
            "city": "Blue Hill",
            "state": "ME",
            "country_code": "US",
            "postal_code": "04614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.