KATE G THIBODEAUX FNPC
NPI 1376217075
Nurse Practitioner in Old Town, ME

Q: What is Kate Thibodeaux's NPI number?

The NPI number for Kate Thibodeaux is 1376217075. It was assigned to this individual provider in the NPPES registry on August 5, 2021. The provider is also known as Kate Pomeroy.

Q: What is Kate Thibodeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kate Thibodeaux was last updated on October 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2021, Aug 27, 2021, Aug 5, 2021 (3 updates tracked since 2021).

On this page

About Kate G Thibodeaux Fnpc NPPES

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

KATE G THIBODEAUX FNPC (NPI 1376217075) is an individual nurse practitioner in Old Town, Maine, licensed in Maine (CNP211240) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376217075

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATE G THIBODEAUXCredential: FNPC

Location Address242 BRUNSWICK STOld Town, ME 04468-1613

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200

Phone(207) 827-6128

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 5, 2021

Last NPPES UpdateOctober 7, 20213 updates tracked since enumeration

NPPES CertifiedOctober 7, 2021

✔ NPI 1376217075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP211240

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

242 BRUNSWICK ST, Old Town, ME 04468

Open in Google Maps ↗

Other Names 1

Former Name (1)Kate Pomeroy

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

Kate G Thibodeaux Fnpc 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 ID4486050127

PECOS Enrollment IDI20210907000353

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.

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04468 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

Leave this field empty

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.

CHRISTINE ANN CRITTENDEN RICHARD LCSW

Social Worker (Clinical)