MS. KATHERINE ANN GILBERT FNP
NPI 1154390847
Nurse Practitioner - Family in Portland, ME

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
272 CONGRESS ST, PORTLAND, ME 04101(207) 874-2466(207) 874-1918 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Katherine Ann Gilbert Fnp NPPES

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

MS. KATHERINE ANN GILBERT FNP (NPI 1154390847) is an individual family provider in Portland, Maine, licensed in Maine (CNP81224) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1154390847
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHERINE ANN GILBERTCredential: FNP
Location Address272 CONGRESS STPortland, ME 04101
Mailing Address301c Us Route OneScarborough, ME 04074 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 874-1918
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 15, 2006
Last NPPES UpdateJanuary 8, 2013
NPI 1154390847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP81224
272 CONGRESS ST, Portland, ME 04101

Other Identifiers 6

Medicare UPINP71940
Medicare PINNP482404ME
Medicare PINP01106786ME
Medicare PINNP4824ME
Medicare PINNP482403ME
Medicare PINNP482401ME

Accepted Insurance

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

Ms. Katherine Ann Gilbert Fnp 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.

PECOS PAC ID2567427537
PECOS Enrollment IDI20041201000688
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services41 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Social Worker
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Specialist/Technologist (Athletic Trainer)
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154390847, enumerated as an "individual" on March 15, 2006.

The provider is located at 272 CONGRESS ST PORTLAND, ME 04101 and the phone number is (207) 874-2466.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.

Katherine Gilbert is affiliated with: MAINE MEDICAL CENTER.