Individual provider Active NPI

Kathryn Rose McLean, FNP-BC

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1407473713
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP201133 Issued in ME
Practice address
66 Bramhall St Ste G1
Portland, ME 04102-3344
Phone
(207) 662-2847
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP201133 ME Primary

Addresses

Primary practice location

66 Bramhall St Ste G1
Portland, ME 04102-3344

Mailing address

66 Bramhall St Ste G1
Portland, ME 04102-3344
Phone (207) 662-2847

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
I20200915002551 ME Practitioner - Nurse Practitioner 3577981042 Reassigns benefits to 3 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
Impact Health Wound Care PLLCGroup PAC ID 4587181581, 4 clinicians
Impact Health Me, LLCGroup PAC ID 9133463490, 18 clinicians

Practice addresses (Care Compare)

323 State St
Suite 5
Augusta, ME 04330-7149
Phone (203) 497-3861

370 Portland St
Yarmouth, ME 04096-8101
Phone (203) 497-3861

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Family CurrentSince Jul 1, 2023 Accepting new patients
Maine Medical Partners Family CurrentSince Sep 8, 2020 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Sep 8, 2020 Accepting new patients
Impact Health Wound Care PLLC CurrentSince Sep 2, 2025 Accepting new patients
Mainehealth CurrentSince Jul 1, 2023 Accepting new patients
Impact Health Me, LLC CurrentSince Jun 1, 2025 Accepting new patients
Mainehealth Current Accepting new patients

Locations

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

323 State St
Ste 5
Augusta, ME 04330
Phone (207) 370-6470

188 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3121

66 Bramhall St
Fl 1
Portland, ME 04102
Phone (207) 662-3101

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

66 Bramhall St
Ste G1
Portland, ME 04102
Phone (207) 662-2847

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021

307 Plaza Dr
Dover, NH 03820
Phone (207) 775-4000

Interoperability endpoints

  • Direct secure messaging: kmcnally303890@direct.mmc.mainehealth.org

Organizations & group practices 8

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1407473713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST STE G1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST STE G1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.