KATHLEEN FORTI-GALLANT FNP
NPI 1407876279
Clinical Nurse Specialist - Medical-Surgical in Bangor, ME

Q: What is Kathleen Forti-gallant's NPI number?

The NPI number for Kathleen Forti-gallant is 1407876279. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Kathleen Forti-gallant's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Medical-Surgical, with taxonomy code 364SM0705X.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

925 UNION ST STE 3, BANGOR, ME 04401(207) 973-9980(207) 973-7515 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2020, Nov 22, 2017 (2 updates tracked since 2017).

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About Kathleen Forti-gallant Fnp NPPES

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

KATHLEEN FORTI-GALLANT FNP (NPI 1407876279) is an individual medical-surgical provider in Bangor, Maine, licensed in Maine (CNP81358) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Sebasticook Valley Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407876279

Entity TypeIndividualFemale

Primary Taxonomy364SM0705X

Provider Legal NameKATHLEEN FORTI-GALLANTCredential: FNP

Location Address925 UNION ST STE 3Bangor, ME 04401-3051

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035

Phone(207) 973-9980

Fax(207) 973-7515

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 21, 2006

Last NPPES UpdateApril 6, 20202 updates tracked since enumeration

NPPES CertifiedApril 6, 2020

✔ NPI 1407876279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Medical-SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SM0705X

Licenses✔ Licensed in ME · CNP81358✔ Licensed in ME · R028705

925 UNION ST STE 3, Bangor, ME 04401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Forti-gallant 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 ID7810918752

PECOS Enrollment IDI20051207000813

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.

Medicare Billing Reassignments

Medicare enrollment records show Kathleen Forti-gallant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acadia Hospital Corp

2.1 mi

Psychiatric Hospital

268 STILLWATER AVENUE
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
348 clinicians in this Medicare group

NPI 1215940523 (207) 973-6470

Eastern Maine Medical Center

2.7 mi

General Acute Care Hospital

489 STATE ST
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
788 clinicians in this Medicare group

NPI 1790789147 (207) 973-7000

Sebasticook Valley Health

28 mi

Critical Access

447 N MAIN ST
Pittsfield, ME 04967

Reassigned Medicare billing, Maine enrollment
140 clinicians in this Medicare group

NPI 1457461477 (207) 487-5141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

71 services46 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.

34 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services21 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

24 services22 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

22 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201313

Location447 North Main StreetPittsfield, ME 04967 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ADDITON BRADFORD M.D.

Specialist