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KELLY ANDERSON
NPI 1003700709
Student in an Organized Health Care Education/Training Program in Augusta, ME

Active since June 06, 2025PECOS Enrolled
15 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-1561(207) 626-1849 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANDERSON (NPI 1003700709) is an individual student in an organized health care education/training program in Augusta, Maine, licensed in Maine (TP25119) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003700709
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ANDERSON
Location Address15 E CHESTNUT STAugusta, ME 04330-5736
Mailing Address15 E Chestnut StAugusta, ME 04330-5736 · (207) 626-1561 · Fax (207) 626-1849
Phone(207) 626-1561
Fax(207) 626-1849
Sole ProprietorNo
Enumeration DateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1003700709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in ME · TP25119
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 E CHESTNUT ST, Augusta, ME 04330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE M K ANDERSON MD
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
RACHEL THOMAS
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHERYL K SEYMOUR MD
Family Medicine (Geriatric Medicine)
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHARMAINE SILVEIRA DA GRACA COSTA
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
JOSEE PROULX MD
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
NATHANIEL BOWLING
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
SYDNEY R SEWALL MD
Pediatrics
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
THERESE MCCARTHY
Nurse Practitioner (Psychiatric/Mental Health)
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1003700709. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Kelly Anderson located?

Kelly Anderson practices at 15 E Chestnut St, Augusta, ME 04330. The listed phone number is (207) 626-1561.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Anderson enrolled in Medicare?

Yes. Kelly Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.