KENNEBEC MEDICAL CONSULTANTS LLC
NPI 1821386343
Colon & Rectal Surgery in Waterville, ME
About Kennebec Medical Consultants Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEBEC MEDICAL CONSULTANTS LLC (NPI 1821386343) is a healthcare organization registered as a colon & rectal surgery in Waterville, Maine and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in Lincolnville, and lists Jerald E Hurdle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennebec Medical Consultants Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kennebec Medical Consultants LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D2222637
Kennebec Medical Consultants · Waterville, MEFrequently 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 Kennebec Medical Consultants LLC's NPI number?
The NPI number for Kennebec Medical Consultants LLC is 1821386343. It was assigned to this organization in the NPPES registry on July 18, 2011.
Where is Kennebec Medical Consultants LLC located?
Kennebec Medical Consultants LLC is located at 13 Railroad Sq Suite 2, Waterville, ME 04901. The listed phone number is (207) 877-9562.
What is Kennebec Medical Consultants LLC's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Kennebec Medical Consultants LLC enrolled in Medicare?
Yes. Kennebec Medical Consultants LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kennebec Medical Consultants LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kennebec Medical Consultants LLC, in Dermatology and Interventional Pain Management. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kennebec Medical Consultants LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2222637) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kennebec Medical Consultants LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Kennebec Medical Consultants LLC 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 Kennebec Medical Consultants LLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Kennebec Medical Consultants Llc · NPI 1821386343
Colon & Rectal Surgery organization in Waterville, Maine. Organization record, active in the CMS NPPES registry since July 18, 2011.
## Identity
- **NPI:** 1821386343 (Entity type: Organization)
- **Enumerated:** July 18, 2011
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Jerald Hurdle, OWNER
## Practice location
- **Address:** 13 RAILROAD SQ, SUITE 2, Waterville, ME 04901-6139
- **Phone:** (207) 877-9562 · **Fax:** (207) 877-9560
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Interventional Pain Management (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821386343) · Data from the CMS NPPES public registry.