KRISTAL PETTENGILL OTR-L
NPI 1396305975
Occupational Therapist in Farmington, ME
About Kristal Pettengill Otr-l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTAL PETTENGILL OTR-L (NPI 1396305975) is an individual occupational therapist in Farmington, Maine, licensed in Maine (OT2647) and active in the NPI registry since June 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristal Pettengill Otr-l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kristal Pettengill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 clinicians in this Medicare group
Manchester, ME 04351
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FARMINGTON, ME 04938
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 Kristal Pettengill's NPI number?
The NPI number for Kristal Pettengill is 1396305975. It was assigned to this individual provider in the NPPES registry on June 17, 2019.
Where is Kristal Pettengill located?
Kristal Pettengill practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 779-2620.
What is Kristal Pettengill's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kristal Pettengill enrolled in Medicare?
Yes. Kristal Pettengill is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristal Pettengill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Pettengill reassigns Medicare benefits to 3 organizations: Rumford Hospital (Rumford, ME), Central Maine Medical Center (Manchester, ME) and Bridgton Hospital (Bridgton, ME). Each 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 Kristal Pettengill'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 Kristal Pettengill was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.