Katelyn Marie Rock Dufault, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP171150 Issued in ME

Practice address

159 Main St
Norway, ME 04268-5638

Phone

(207) 743-2945

Fax

(207) 744-6570

NPI assigned

Oct 5, 2017

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katelyn Rock Laubauskas Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

86.22 of 100Reported as group

Quality

75.39

Promoting interoperability

84

Improvement activities

40

Cost

75.32

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdufault643300@direct.mmc.mainehealth.org

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815
  Medicare reassignment NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainegeneral Medical Center

  dba MaineGeneral Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Medical Group-Specialty Care

  • Family Medicine Physician
  • Portland, ME
  • NPI 1629761978
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1972013852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685638",
            "telephone_number": "207-743-2945",
            "fax_number": "207-744-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685638",
            "telephone_number": "207-743-2945",
            "fax_number": "207-744-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043307997",
            "country_code": "US",
            "telephone_number": "207-621-8880",
            "fax_number": "207-621-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 High St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407656",
            "country_code": "US",
            "telephone_number": "207-795-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFAULT",
        "first_name": "KATELYN",
        "middle_name": "MARIE ROCK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "LAUBAUSKAS",
            "middle_name": "ROCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Allen Davis, MA, CCC/SLP
• Bailey Iva Ditmer, DO
• Catherine Dow, MOT, OTR/L
• Dr Larry E Farmer, Optometrist
• Nikkita G Drake, LCSW
• Jessica Dzara, PHARMD
• Gillian Eastman, MD
• Emeline Ferguson, LCSW, LLC
• Gretchen Fall, LCPC, CADC
• Jordan Faloon, DO

• Family Nurse Practitioner in Norway, ME
• Providers in Norway, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.

Verify at the official NPI Registry.