Individual provider Active NPI

Matthew Daniel Kent

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
National Provider Identifier
1306317847
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
921435 Issued in TX
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 973-7000
NPI assigned
Dec 10, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 921435 TX Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

141 N Main St Ste 205
Brewer, ME 04412-2055
Phone (207) 992-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131002446 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688911415 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

50 Union St
Ellsworth, ME 04605-1534

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
921435TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Care, P.a. CurrentSince Jun 17, 2019 Accepting new patients
Cec, LLC CurrentSince Jun 17, 2019 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 29, 2019 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 29, 2019 Accepting new patients
MRH Corp. CurrentSince Apr 14, 2025 Accepting new patients
MRH Corp. CurrentSince Apr 14, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 22, 2020 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 22, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 20, 2019 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 20, 2019 Accepting new patients
True North Anesthesia L.L.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

141 N Main St
Ste 205
Brewer, ME 04412
Phone (207) 992-4032

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

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300

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

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

Organizations & group practices 11

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 4

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1306317847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST STE 205",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122055",
            "telephone_number": "207-992-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "921435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.