Active NPI
Kelsea Joan Sandefur, DO
- Physical Medicine & Rehabilitation Physician
- Searsport, ME
National Provider Identifier
1578025045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DO4043
- Practice address
- 37 Mortland Rd
Searsport, ME 04974-3336 - Phone
- (207) 548-2475
- Fax
- (207) 548-2470
- NPI assigned
- Apr 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | DO4043 | ME | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DO4043 | ME | Primary |
Addresses
Primary practice location
37 Mortland Rd
Searsport, ME 04974-3336
Mailing address
37 Mortland Rd
Searsport, ME 04974-3336
Phone (207) 548-2475
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4486
Other practice location 2
725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2839
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Riverfront PLZ
Westbrook, ME 04092-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4043 | ME | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
37 Mortland Rd
Searsport, ME 04974
Phone (207) 548-2475
Interoperability endpoints
- ksandefur927138@direct.mmc.mainehealth.org
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 and National Provider Directory roles.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Medical Group-Specialty Care
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Mid Coast Hospital
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
-
dba MaineHealth Pen Bay Hospital
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1578025045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MORTLAND RD",
"city": "SEARSPORT",
"state": "ME",
"postal_code": "049743336",
"telephone_number": "207-548-2475",
"fax_number": "207-548-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MORTLAND RD",
"city": "SEARSPORT",
"state": "ME",
"postal_code": "049743336",
"telephone_number": "207-548-2475",
"fax_number": "207-548-2470"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-4486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 North St",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "MA",
"postal_code": "012014109",
"country_code": "US",
"telephone_number": "413-447-2839",
"fax_number": "413-447-2088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDEFUR",
"first_name": "KELSEA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "ME",
"license": "DO4043",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "ME",
"license": "DO4043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Searsport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.