MRS. KATHLEEN BLAKE MAYNARD NP
NPI 1043651623
Nurse Practitioner - Family in North Conway, NH
About Mrs. Kathleen Blake Maynard Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHLEEN BLAKE MAYNARD NP (NPI 1043651623) is an individual family provider in North Conway, New Hampshire, licensed in New Hampshire (067211-23) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kathleen Blake Maynard Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Maynard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conway, NH 03818
- Reassigned Medicare billing, New Hampshire enrollment
- 13 clinicians in this Medicare group
Worcester, MA 01605
- Reassigned Medicare billing, Massachusetts enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORTH CONWAY, NH 03860
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 Kathleen Maynard's NPI number?
The NPI number for Kathleen Maynard is 1043651623. It was assigned to this individual provider in the NPPES registry on July 11, 2013.
Where is Kathleen Maynard located?
Kathleen Maynard practices at 3073 White Mountain Hwy Primary Care, Memorial Hospital, North Conway, NH 03860. The listed phone number is (603) 356-5461.
What is Kathleen Maynard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Maynard enrolled in Medicare?
Yes. Kathleen Maynard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathleen Maynard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Maynard reassigns Medicare benefits to 2 organizations: Saco River Medical Group, PC (Conway, NH) and Edward M. Kennedy Community Health Center, Inc (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Maynard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Maynard was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Mrs. Kathleen Blake Maynard, NP · NPI 1043651623
Family physician in North Conway, New Hampshire. Individual provider, active in the CMS NPPES registry since July 11, 2013.
## Identity
- **NPI:** 1043651623 (Entity type: Individual)
- **Enumerated:** July 11, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 067211-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 3073 WHITE MOUNTAIN HWY, PRIMARY CARE, MEMORIAL HOSPITAL, North Conway, NH 03860-7101
- **Phone:** (603) 356-5461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saco River Medical Group, PC (NPI 1861587453, Conway, NH); Edward M. Kennedy Community Health Center, Inc (NPI 1609842152, Worcester, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1043651623) · Data from the CMS NPPES public registry.