Individual provider Active NPI

Karen Elaine Abernathy, M.D.

  • Internal Medicine Physician
  • Rockport, ME
National Provider Identifier
1124312335
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD25049 Issued in ME
Practice address
15 Anchor Dr Ste 202
Rockport, ME 04856-3846
Phone
(207) 301-5800
NPI assigned
Jun 6, 2011
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25049 ME
Internal Medicine Physician 207R00000X MD25049 ME Primary
Internal Medicine Physician 207R00000X 042.0013775 VT

Addresses

Primary practice location

15 Anchor Dr Ste 202
Rockport, ME 04856-3846

Mailing address

15 Anchor Dr Ste 202
Rockport, ME 04856-3846
Phone (207) 301-5800

Other practice location 1

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 847-8354

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927002565 ME Practitioner - Internal Medicine 9436371093

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Anchor Dr
Suite 202
Rockport, ME 04856-3848

190 Riverside St
Suite 6B
Portland, ME 04103-1272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 25, 2021 Accepting new patients
Mainehealth CurrentSince Oct 25, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Major Hospital Past Accepting new patients
Mainehealth PastSince Jul 17, 2021 Accepting new patients

Locations

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

15 Anchor Dr
Ste 202
Rockport, ME 04856
Phone (207) 301-3640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1124312335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563846",
            "telephone_number": "207-301-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 202",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563846",
            "telephone_number": "207-301-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Main St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523234",
            "country_code": "US",
            "telephone_number": "802-847-8354",
            "fax_number": "802-847-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD25049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD25049",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0013775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.