Active NPIIndividual provider

Kathleen Ingellis

Nurse Practitioner, Family in Springvale, Maine

NPI Number1306583182
Practice location
15 Oak St, Springvale, ME 04083-1926
Fax
207-459-2822
Last updated
June 11, 2025

Kathleen Ingellis is a Nurse Practitioner, Family based in Springvale, ME. Kathleen Ingellis practices in Springvale, ME. The NPI Number for Kathleen Ingellis is 1306583182 and holds a License No. CNP221094 (ME). The current practice location address for Kathleen Ingellis is 15 Oak St, Springvale, ME 04083-1926 and can be reached out via phone at 207-490-6900 and via fax at 207-459-2822.

Provider Profile Details

NPI Number
1306583182
Provider Name
Kathleen Ingellis
Provider Entity Type
Individual
Gender
Female
Address
15 Oak St, Springvale, ME 04083-1926
Phone Number
207-490-6900
Fax Number
207-459-2822
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 13, 2022
Last Update Date
June 11, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Oak St
Springvale, ME 04083-1926
State
Maine
Zip
04083-1926
Phone Number
207-490-6900
Fax Number
207-459-2822
Springvale, ME 04083Get directions →

Provider Business Mailing Address Details

Address
91 Auburn St
Ste J #1180
Portland, ME 04103-2119
City
Portland
State
ME
Zip
04103-2119
Phone Number
203-577-9660

License Information

License Number (1)
CNP221094
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
CNP221094
License State (3)
ME
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Ingellis?

The NPI number of Kathleen Ingellis is 1306583182. It was assigned on May 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Kathleen Ingellis?

Kathleen Ingellis is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP221094.

Where does Kathleen Ingellis practice?

The practice location is 15 Oak St, Springvale, ME 04083-1926. The office can be reached at 207-490-6900 (phone) or 207-459-2822 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306583182 directly on the NPPES registry website.

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