KELLY WALDROUP NP
NPI 1699436758
Nurse Practitioner - Family in Windham, ME

Q: What is Kelly Waldroup's NPI number?

The NPI number for Kelly Waldroup is 1699436758. It was assigned to this individual provider in the NPPES registry on December 31, 2021.

Q: What is Kelly Waldroup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Waldroup was last updated on December 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 31, 2021PECOS Enrolled

582 ROOSEVELT TRL, WINDHAM, ME 04062(207) 892-3233 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Waldroup Np NPPES

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

KELLY WALDROUP NP (NPI 1699436758) is an individual family provider in Windham, Maine, licensed in Maine (CNP211586) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699436758

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY WALDROUPCredential: NP

Location Address582 ROOSEVELT TRLWindham, ME 04062-4904

Mailing Address582 Roosevelt TrlWindham, ME 04062-4904 · (207) 892-3233

Phone(207) 892-3233

Sole ProprietorNo

Enumeration DateDecember 31, 2021

NPPES CertifiedDecember 31, 2021

✔ NPI 1699436758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ME · CNP211586

582 ROOSEVELT TRL, Windham, ME 04062

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Waldroup 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04062 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 7

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

STEVEN JAMES AIELLO PA-C

Physician Assistant