Individual provider Active NPI

Kelsie E Milledge

  • Primary Care Nurse Practitioner
  • Auburn, ME
National Provider Identifier
1871306183
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP251243 Issued in ME
Practice address
2 Great Falls PLZ
Auburn, ME 04210-5966
Phone
(207) 330-3950
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 078513-21 NH
Primary Care Nurse Practitioner 363LP2300X CNP251243 ME Primary

Addresses

Primary practice location

2 Great Falls PLZ
Auburn, ME 04210-5966

Mailing address

2 Great Falls PLZ
Auburn, ME 04210-5966
Phone (207) 330-3950

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
I20250728000323 ME Practitioner - Nurse Practitioner 2264949031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

2 Great Falls PLZ
Suite 21
Auburn, ME 04210-5966
Phone (207) 330-3950

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078513-21NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 4, 2025 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 4, 2025 Accepting new patients

Locations

3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550

3 Willow Run
Rm A
Auburn, ME 04210
Phone (207) 795-6800

15 Mollison Way
Rm A
Lewiston, ME 04240
Phone (207) 777-4440

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

1230 Maine St
Rm A
Poland, ME 04274
Phone (207) 998-4483

Interoperability endpoints

  • Direct secure messaging: kelsie.milledge.p1@direct.rheumme.nextgenshare.com
  • Direct secure messaging: kmilledge2957330@direct.bsmhealth.org

Organizations & group practices 3

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 2

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": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1871306183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-330-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-330-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEDGE",
        "first_name": "KELSIE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "078513-21",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP251243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.