Individual provider Active NPI

Kami Costa

  • Registered Nurse
  • Newport, ME
National Provider Identifier
1245100882
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN70539 Issued in ME
Practice address
118 Moosehead TRL Ste 5
Newport, ME 04953-4056
Phone
(207) 368-5189
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN70539 ME Primary

Addresses

Primary practice location

118 Moosehead TRL Ste 5
Newport, ME 04953-4056

Mailing address

118 Moosehead TRL Ste 5
Newport, ME 04953-4056
Phone (207) 368-5189

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
I20260205002613 ME Practitioner - Nurse Practitioner 5991284457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

118 Moosehead TRL
Suite 5
Newport, ME 04953-4020

13 Maverick St
Rockland, ME 04841-3402

Hospital & facility affiliations

  • Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN70539MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Family Doctors CurrentSince Dec 29, 2025 Accepting new patients
Sebasticook Family Doctors CurrentSince Dec 29, 2025 Accepting new patients

Locations

118 Moosehead Trl
Ste 5
Newport, ME 04953
Phone (207) 368-4213

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 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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1245100882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL STE 5",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534056",
            "telephone_number": "207-368-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL STE 5",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534056",
            "telephone_number": "207-368-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "KAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN70539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.