DR. KELLY ANNE WORSTER D.C.
NPI 1194049080
Chiropractor in Portland, ME
About Dr. Kelly Anne Worster D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANNE WORSTER D.C. (NPI 1194049080) is an individual chiropractor in Portland, Maine, licensed in Maine (CR1951) and active in the NPI registry since March 2010.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly Anne Worster D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Worster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Portland, ME 04106
- Reassigned Medicare billing, Maine enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kelly Worster's NPI number?
The NPI number for Kelly Worster is 1194049080. It was assigned to this individual provider in the NPPES registry on March 21, 2010. The provider is also known as Mrs. Kelly Worster Sutherburg.
Where is Kelly Worster located?
Kelly Worster practices at 222 Saint John St Ste 308, Portland, ME 04102. The listed phone number is (207) 838-5643.
What is Kelly Worster's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kelly Worster enrolled in Medicare?
Yes. Kelly Worster is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Worster's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Worster reassigns Medicare benefits to Kelly Worster Dc, LLC (South Portland, ME). The 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 Kelly Worster'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 Kelly Worster was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Kelly Anne Worster, D.C. · NPI 1194049080
Chiropractor provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since March 21, 2010.
## Identity
- **NPI:** 1194049080 (Entity type: Individual)
- **Enumerated:** March 21, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CR1951 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 SAINT JOHN ST STE 308, Portland, ME 04102-3067
- **Phone:** (207) 838-5643
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Kelly Worster Dc, LLC (NPI 1730587221, South Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1194049080) · Data from the CMS NPPES public registry.