Active NPI
Cathleen D Koslosky, NP
- Family Nurse Practitioner
- Bath, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP151001
- Practice address
- 108 Centre St Ste 200
Bath, ME 04530 - Phone
- (207) 386-1800
- Fax
- (207) 386-1801
- NPI assigned
- Feb 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP151001 | ME | Primary |
Addresses
Primary practice location
108 Centre St Ste 200
Bath, ME 04530
Mailing address
108 Centre St Ste 200
Bath, ME 04530-2550
Phone (207) 386-1800
Other practice location 1
123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150414002225 | ME | Practitioner - Nurse Practitioner | 6709104151 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Mid Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP151001 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Current | Accepting new patients |
Locations
108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808
Interoperability endpoints
- ckoslosky364088@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
ME
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
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": "1423353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1619368024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CENTRE ST STE 200",
"city": "BATH",
"state": "ME",
"postal_code": "045302550",
"telephone_number": "207-386-1800",
"fax_number": "207-386-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CENTRE ST STE 200",
"city": "BATH",
"state": "ME",
"postal_code": "04530",
"telephone_number": "207-386-1800",
"fax_number": "207-386-1801"
}
],
"practiceLocations": [
{
"address_1": "123 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112652",
"country_code": "US",
"telephone_number": "207-373-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSLOSKY",
"first_name": "CATHLEEN",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-08",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP151001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.