Individual provider Active NPI

Kyley Jennifer Caldwell, FNP

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1760146476
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP261518 Issued in ME
Practice address
49 Spring St Ste 101
Scarborough, ME 04074-8926
Phone
(207) 883-7926
Fax
(207) 618-5021
NPI assigned
Oct 28, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015281 NC
Family Nurse Practitioner 363LF0000X CNP261518 ME Primary

Addresses

Primary practice location

49 Spring St Ste 101
Scarborough, ME 04074-8926

Mailing address

49 Spring St Ste 101
Scarborough, ME 04074-8926
Phone (207) 883-7926

Other practice location 1

101 Church St
Broadway, NC 27505-9394
Phone (919) 258-6521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220120000037 NC Practitioner - Nurse Practitioner 5991197154 Reassigns benefits to 1 organization

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)

1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP261518MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 1, 2021 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 1, 2021 Accepting new patients
DLP Central Carolina Medical Group LLC Past Accepting new patients

Locations

101 Church St
Broadway, NC 27505
Phone (919) 258-6521

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

1125 Carthage St
Sanford, NC 27330
Phone (919) 774-6023

4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: kyley.caldwell.1@15593.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1760146476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SPRING ST STE 101",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-883-7926",
            "fax_number": "207-618-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SPRING ST STE 101",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-883-7926",
            "fax_number": "207-618-5021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Church St",
            "address_purpose": "LOCATION",
            "city": "Broadway",
            "state": "NC",
            "postal_code": "275059394",
            "country_code": "US",
            "telephone_number": "919-258-6521",
            "fax_number": "919-258-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KYLEY",
        "middle_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP261518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.