Individual provider Active NPI

Anne E Kornkven, MD

  • Pediatrics Physician
  • Damariscotta, ME
National Provider Identifier
1427553353
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD25860 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4250
Fax
(207) 810-4977
NPI assigned
Mar 23, 2018
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD25860 ME
Pediatrics Physician 208000000X MD25860 ME Primary
Hospitalist Physician 208M00000X MD25860 ME

Addresses

Primary practice location

24 Miles Center Way
Damariscotta, ME 04543-4067

Mailing address

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4250

Other practice location 1

3 Shape Dr
Kennebunk, ME 04043-6601
Phone (207) 467-8930

Other practice location 2

592 W Main St
Waldoboro, ME 04572-6030
Phone (207) 832-6394

Other practice location 3

9 Healthcare Dr Ste 208
Biddeford, ME 04005-9450
Phone (207) 282-7531

Other practice location 4

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

Other practice location 5

19 Saint Andrews Ln
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

Other practice location 6

49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220629001803 ME Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 8224418868 Reassigns benefits to 6 organizations
I20221220001344 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224418868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

19 Saint Andrews LN
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

22 Bramhall St
Portland, ME 04102-3134

24 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25860MEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 16, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Pediatrics Current Accepting new patients
Maine Medical Partners CurrentSince May 16, 2023 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Dec 5, 2022 Accepting new patients
Maine Medical Partners CurrentSince Jul 1, 2022 Accepting new patients
Maine Medical Partners CurrentSince Jul 1, 2022 Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince May 16, 2023 Accepting new patients
Mainehealth CurrentSince May 16, 2023 Accepting new patients
Mainehealth Current Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Dec 5, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

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

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

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

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1427553353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Shape Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436601",
            "country_code": "US",
            "telephone_number": "207-467-8930",
            "fax_number": "207-985-8459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "592 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045726030",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "fax_number": "207-832-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Healthcare Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059450",
            "country_code": "US",
            "telephone_number": "207-282-7531",
            "fax_number": "207-294-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Depot St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045725913",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Saint Andrews Ln",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381732",
            "country_code": "US",
            "telephone_number": "207-633-7820",
            "fax_number": "207-810-4966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Hooper St",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784053",
            "country_code": "US",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNKVEN",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD25860",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD25860",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD25860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.