SAMUEL G KINGSLEY NP
NPI 1558935338
Nurse Practitioner - Psychiatric/Mental Health in Scarborough, ME

Active since May 17, 2021PECOS Enrolled
98.06/100
CMS Quality Rating
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074(207) 387-4801 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, May 17, 2021 (2 updates tracked since 2021).

About Samuel G Kingsley Np NPPES

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

SAMUEL G KINGSLEY NP (NPI 1558935338) is an individual psychiatric/mental health provider in Scarborough, Maine, licensed in Maine (CNP211320) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1558935338
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL G KINGSLEYCredential: NP
Location Address15 PLEASANT HILL RD STE 204Scarborough, ME 04074-7678
Mailing Address233 Job RdStandish, ME 04084-6530 · (078) 321-2122 · Fax (207) 799-9887
Sole ProprietorNo
Enumeration DateMay 17, 2021
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1558935338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ME · CNP211320
15 PLEASANT HILL RD STE 204, Scarborough, ME 04074

Secondary Practice Location 1

Location 132 York StYork, ME 03909-1309 · Phone (207) 351-3960 · Fax (207) 351-3963

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel G Kingsley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
35 services16 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Psychologist (Clinical)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074
Nurse Practitioner (Psychiatric/Mental Health)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 04074

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 Samuel Kingsley's NPI number?

The NPI number for Samuel Kingsley is 1558935338. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Samuel Kingsley located?

Samuel Kingsley practices at 15 Pleasant Hill Rd Ste 204, Scarborough, ME 04074. The listed phone number is (207) 387-4801.

What is Samuel Kingsley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Kingsley enrolled in Medicare?

Yes. Samuel Kingsley is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Kingsley accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Samuel Kingsley 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.

When was this NPI record last updated?

The NPPES record for Samuel Kingsley was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.