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KELLIE ANN P GOUDREAU MS, PA-C
NPI 1235410515
Emergency Medicine in Portland, ME

Active since August 31, 2011PECOS EnrolledAccepts Medicare Assignment
144 STATE ST, PORTLAND, ME 04101(207) 879-3000 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 5, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Kellie Ann P Goudreau Ms, Pa-c NPPES

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

KELLIE ANN P GOUDREAU MS, PA-C (NPI 1235410515) is an individual emergency medicine provider in Portland, Maine, licensed in Maine (PA1775) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235410515
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELLIE ANN P GOUDREAUCredential: MS, PA-C
Location Address144 STATE STPortland, ME 04101-3776
Mailing Address144 State StPortland, ME 04101-3776 · (207) 604-0298
Phone(207) 879-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 31, 2011
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1235410515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · PA1775
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2012-0052 (NM), PA1775 (ME)
144 STATE ST, Portland, ME 04101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 125A June StSanford, ME 04073-2642 · Phone (207) 490-3203
Location 21090 Goat Springs RoadTaos, NM 87571 · Phone (575) 758-6917

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kellie Ann P Goudreau Ms, Pa-c 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 ID6103099346
PECOS Enrollment IDI20180413001399
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
128 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
75 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services39 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
33 services32 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

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.

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.

RHONDA L BENNER LCSW
Social Worker (Clinical)
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3000
DAVID A POLISNER MD
Internal Medicine
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3000
MARY B MCHUGH MS, RD
Dietitian, Registered
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3604
BRIAN D MOORE M.D.
Internal Medicine
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3000
MARC STUART HOFFMAN M.D.
Emergency Medicine
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3265
KATHERINE RIOUX
Nurse Anesthetist, Certified Registered
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3000
FRANCIS ALTMAN M.D.
Anesthesiology
144 STATE ST, ANESTHESIA DEPARTMENT
PORTLAND, ME 04101
Cumberland County (207) 879-3385
MS. DANIELLE JEANNE WOOD PA-C
Physician Assistant
144 STATE ST
PORTLAND, ME 04101
Cumberland County (207) 879-3000

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 Kellie Ann Goudreau's NPI number?

The NPI number for Kellie Ann Goudreau is 1235410515. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Where is Kellie Ann Goudreau located?

Kellie Ann Goudreau practices at 144 State St, Portland, ME 04101. The listed phone number is (207) 879-3000.

What is Kellie Ann Goudreau's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kellie Ann Goudreau enrolled in Medicare?

Yes. Kellie Ann Goudreau 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.

What insurance does Kellie Ann Goudreau accept?

Health plans from Anthem Blue Cross and Blue Shield list Kellie Ann Goudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kellie Ann Goudreau affiliated with any hospitals?

According to CMS data, Kellie Ann Goudreau is affiliated with Maine Medical Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kellie Ann Goudreau was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.