Active NPI
Kimberly Ann Wells, FNP
- Family Nurse Practitioner
- Gorham, ME
National Provider Identifier
1902484587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP241470
- Practice address
- 575 Main St
Gorham, ME 04038-2623 - Phone
- (207) 839-2559
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP241470 | ME | Primary |
| Family Medicine Physician | 207Q00000X | 95016926 | CA | |
| Nurse Practitioner | 363L00000X | 95016916 | CA |
Addresses
Primary practice location
575 Main St
Gorham, ME 04038-2623
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KIMBERLY.WELLS.1@5857.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20210721001559 | CA | Practitioner - Nurse Practitioner | 0547663031 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin'S Point Health Care, Inc.
Practice addresses (Care Compare)
575 Main St
Gorham, ME 04038-2623
Phone (207) 839-2559
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016926 | CA | MD | Family Medicine Physician |
| 95016916 | CA | MD | Nurse Practitioner |
| CNP241470 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Clinic House Calls | Current | Accepting new patients | |
| Daiya Healthcare PLLC | Current | Accepting new patients | |
| Elk Grove Urgent Care Inc | Current | Accepting new patients | |
| Martin'S Point Health Care, Inc. | Family Medicine | Current | Accepting new patients |
| Capitol Urgent Care Inc | Current | Accepting new patients | |
| Convenientmd LLC | Current | Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients | |
| Healing Pathways Medical Clinic, Inc. | Past | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Past | Accepting new patients |
Locations
9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110
7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110
5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584
2215 Oakmont Way
West Sacramento, CA 95691
Phone (916) 371-1890
575 Main St
Gorham, ME 04038
Phone (207) 839-2559
211 Marginal Way
Portland, ME 04101
Phone (207) 517-3838
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f49f56a0-22e5-41d6-9c30-0e95cf63cef7/
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- kimberly.wells.1@33606.direct.athenahealth.com
- kim.well.p1@direct.convenientmd.nextgenshare.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
Family Medicine
-
- Primary Care Clinic/Center
- Portland, ME
- NPI 1609694207
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
-
- Urgent Care Clinic/Center
- Windham, NH
- NPI 1528330180
-
- Psychiatry Physician
- West Sacramento, CA
- NPI 1265616544
Hospital & facility affiliations 38
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": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1902484587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9746",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045040",
"telephone_number": "207-791-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040382623",
"telephone_number": "207-839-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP241470",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95016926",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95016916",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KIMBERLY.WELLS.1@5857.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "575 Main St",
"city": "Gorham",
"state": "ME",
"country_code": "US",
"postal_code": "040382623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.