Active NPI
Kelsey Marshall
- Psychiatric/Mental Health Nurse Practitioner
- Bangor, ME
National Provider Identifier
1932042678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP261275
- Practice address
- 42 Cedar St
Bangor, ME 04401-6433 - Phone
- (207) 947-0366
- Fax
- (207) 945-5022
- NPI assigned
- Apr 9, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN81860 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP261275 | ME | Primary |
Addresses
Primary practice location
42 Cedar St
Bangor, ME 04401-6433
Mailing address
42 Cedar St
Bangor, ME 04401-6433
Phone (207) 922-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
39 Molly LN
Bangor, ME 04401-3553
PO Box
Suite 425
Bangor, ME 04402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN81860 | ME | MD | Registered Nurse |
| CNP261275 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1932042678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CEDAR ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016433",
"telephone_number": "207-922-4600",
"fax_number": "207-945-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CEDAR ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016433",
"telephone_number": "207-947-0366",
"fax_number": "207-945-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN81860",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP261275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.