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KENNEDY GRACE WHEELER MD
NPI 1134972805
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since April 10, 2024PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-7068 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Apr 10, 2024 (2 updates tracked since 2024).

About Kennedy Grace Wheeler Md NPPES

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

KENNEDY GRACE WHEELER MD (NPI 1134972805) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134972805
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY GRACE WHEELERCredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3175
Phone(207) 662-7068
Sole ProprietorYes
Enumeration DateApril 10, 2024
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1134972805 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
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.
22 BRAMHALL ST, Portland, ME 04102
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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)

Kennedy Grace Wheeler Md 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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Kennedy Wheeler's NPI number?

The NPI number for Kennedy Wheeler is 1134972805. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Kennedy Wheeler located?

Kennedy Wheeler practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-7068.

What is Kennedy Wheeler's specialty?

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

Is Kennedy Wheeler enrolled in Medicare?

Yes. Kennedy Wheeler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kennedy Wheeler was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.