Individual provider Active NPI

Kathryn Raymond, FNP-C

  • Primary Care Nurse Practitioner
  • Presque Isle, ME
National Provider Identifier
1255957007
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP201197 Issued in ME
Practice address
23 North St
Presque Isle, ME 04769-2291
Phone
(207) 764-3142
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP201197 ME Primary

Addresses

Primary practice location

23 North St
Presque Isle, ME 04769-2291

Mailing address

112 Fuller Rd
Easton, ME 04740-4123
Phone (207) 551-6799

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
I20200807001608 ME Practitioner - Nurse Practitioner 7911322995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health Care, LLCGroup PAC ID 9335102094, 2 clinicians

Practice addresses (Care Compare)

167 Academy St
Suite C
Presque Isle, ME 04769-3167
Phone (207) 764-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP201197MEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Home Health & Hospice CurrentSince Nov 14, 2024 Accepting new patients
Full Circle Health Care, LLC CurrentSince Jul 14, 2025 Accepting new patients
Full Circle Health Care LLC CurrentSince Jul 14, 2025 Accepting new patients
Intermed, PA Past Accepting new patients
The Aroostook Medical Center Past Accepting new patients
Alda Health LLC PastSince Dec 15, 2025 Accepting new patients

Locations

885 Union St
Ste 220
Bangor, ME 04401
Phone (207) 973-4702

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

167 Academy St
Ste C
Presque Isle, ME 04769
Phone (207) 764-7200

18 Green Hill Rd
Ste 1
Presque Isle, ME 04769
Phone (207) 973-4702

180 Academy St
Ste 5
Presque Isle, ME 04769
Phone (207) 764-7200

225 Gorham Rd
Ste 200
South Portland, ME 04106
Phone (207) 400-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8639/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1255957007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FULLER RD",
            "city": "EASTON",
            "state": "ME",
            "postal_code": "047404123",
            "telephone_number": "207-551-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "207-764-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "KATHRYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP201197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.