Active NPI
Kathleen Ingellis
- Family Nurse Practitioner
- Springvale, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP221094
- Practice address
- 15 Oak St
Springvale, ME 04083-1926 - Phone
- (207) 490-6900
- Fax
- (207) 459-2822
- NPI assigned
- May 13, 2022
- Last updated
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP221094 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | CNP221094 | ME | Primary |
Addresses
Primary practice location
15 Oak St
Springvale, ME 04083-1926
Mailing address
91 Auburn St
Ste J #1180
Portland, ME 04103-2119
Phone (203) 577-9660
Other practice location 1
400 Congress St
Portland, ME 04101-3515
Phone (323) 205-7088
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Oak St
Springvale, ME 04083-1926
Phone (207) 490-6900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York County Community Action Corp | Current | Accepting new patients |
Locations
357 Elm St
Biddeford, ME 04005
Phone (207) 282-5919
15 Oak St
Springvale, ME 04083
Phone (207) 490-6900
Interoperability endpoints
- kathleen.ingellis.p1@direct.nassonhealthcare.nextgenshare.com
Organizations & group practices 1
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.
-
dba York County Community Health Care
- Federally Qualified Health Center (FQHC)
- Springvale, ME
- NPI 1497923916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1306583182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 AUBURN ST",
"address_2": "STE J #1180",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032119",
"telephone_number": "203-577-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 OAK ST",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831926",
"telephone_number": "207-490-6900",
"fax_number": "207-459-2822"
}
],
"practiceLocations": [
{
"address_1": "400 Congress St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041013515",
"country_code": "US",
"telephone_number": "323-205-7088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGELLIS",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP221094",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP221094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springvale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.