Active NPI
Kathleen C Montegut, APRN, CS
- Adult Psychiatric/Mental Health Registered Nurse
- Yarmouth, ME
National Provider Identifier
1972557056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- R024482
- Practice address
- 45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999 - Phone
- (207) 846-1414
- Fax
- (207) 846-7756
- NPI assigned
- May 21, 2006
- Last updated
- Jul 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R024482 | ME | Primary |
Addresses
Primary practice location
45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999
Mailing address
45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999
Phone (207) 846-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211830000 | Medicaid | ME |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090606000000 | ME | Practitioner - Certified Clinical Nurse Specialist (CNS) | 6901839554 | Practice locations: Yarmouth, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 846-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024482 | ME | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Neurobehavioral Services, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Falmouth, ME
- NPI 1043432628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1972557056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FOREST FALLS DR STE B2",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966999",
"telephone_number": "207-846-1414",
"fax_number": "207-846-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FOREST FALLS DR STE B2",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966999",
"telephone_number": "207-846-1414",
"fax_number": "207-846-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEGUT",
"first_name": "KATHLEEN",
"middle_name": "C",
"credential": "APRN, CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-21",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "ME",
"license": "R024482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211830000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.