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KATHLEEN VIRGINIA LONERGAN PA-C
NPI 1144892225
Physician Assistant - Surgical in South Portland, ME

Active since July 16, 2021PECOS Enrolled
119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040(207) 661-4630 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, Dec 5, 2022, Feb 3, 2022 and 1 more (4 updates tracked since 2021).

About Kathleen Virginia Lonergan Pa-c NPPES

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

KATHLEEN VIRGINIA LONERGAN PA-C (NPI 1144892225) is an individual surgical provider in South Portland, Maine, licensed in Maine (PA2921) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144892225
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATHLEEN VIRGINIA LONERGANCredential: PA-C
Location Address119 GANNETT DRSouth Portland, ME 04106-6942
Mailing Address119 Gannett DrSouth Portland, ME 04106-6942 · (207) 773-0040 · Fax (207) 661-4630
Phone(207) 773-0040
Fax(207) 661-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 16, 2021
Last NPPES UpdateSeptember 23, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1144892225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA2921
Also ListedPhysician AssistantTaxonomy 363A00000X · License 027368 (NY), PA2921 (ME)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110009039 (VA)
119 GANNETT DR, South Portland, ME 04106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13959 BroadwayNew York, NY 10032-1559 · Phone (212) 305-5437
Location 23300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Virginia Lonergan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446620793
PECOS Enrollment IDI20251017003924
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.

NATALIE ALISON HUNT MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
STUART VASCHE BRAUN MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
KIRSTEN UELAND GALLERY PA
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
CARLEY SIMS ELDREDGE PT, DPT
Physical Therapist
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
TYLER GARDINER ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MISS RILEY MAE BILLINGS
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MAINE CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-2642
ADRIENNE TOOF OTR/L
Occupational Therapist
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040

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 Lonergan's NPI number?

The NPI number for Kathleen Lonergan is 1144892225. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Kathleen Lonergan located?

Kathleen Lonergan practices at 119 Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 773-0040.

What is Kathleen Lonergan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kathleen Lonergan enrolled in Medicare?

Yes. Kathleen Lonergan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Lonergan was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.