KELLEY QUALTERS
NPI 1124761671
Nurse Practitioner - Adult Health in South Portland, ME
About Kelley Qualters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY QUALTERS (NPI 1124761671) is an individual adult health provider in South Portland, Maine, licensed in New York (309069) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelley Qualters 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kelley Qualters's NPI number?
The NPI number for Kelley Qualters is 1124761671. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Kelley Qualters located?
Kelley Qualters practices at 21 Grand St, South Portland, ME 04106. The listed phone number is (781) 893-6014.
What is Kelley Qualters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelley Qualters enrolled in Medicare?
Yes. Kelley Qualters 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.
When was this NPI record last updated?
The NPPES record for Kelley Qualters was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelley Qualters · NPI 1124761671
Adult Health physician in South Portland, Maine. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1124761671 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 309069 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 GRAND ST, South Portland, ME 04106-2217
- **Phone:** (781) 893-6014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124761671) · Data from the CMS NPPES public registry.