Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY ANN WELLS FNP
NPI 1902484587
Nurse Practitioner - Family in Gorham, ME

Active since April 01, 2021PECOS Enrolled

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Sep 20, 2021, Apr 1, 2021 (3 updates tracked since 2021).

About Kimberly Ann Wells Fnp NPPES

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

KIMBERLY ANN WELLS FNP (NPI 1902484587) is an individual family provider in Gorham, Maine, licensed in Maine (CNP241470) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902484587
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANN WELLSCredential: FNP
Location Address575 MAIN STGorham, ME 04038-2623
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1902484587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP241470
Also ListedFamily MedicineTaxonomy 207Q00000X · License 95016926 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95016916 (CA)
575 MAIN ST, Gorham, ME 04038

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Ann Wells Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547663031
PECOS Enrollment IDI20241119002032
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 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 10

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

Family Medicine
575 MAIN ST
GORHAM, ME 04038
Family Medicine
575 MAIN ST
GORHAM, ME 04038
Family Medicine
575 MAIN ST
GORHAM, ME 04038
Family Medicine
575 MAIN ST
GORHAM, ME 04038
Family Medicine
575 MAIN ST
GORHAM, ME 04038
Family Medicine
575 MAIN ST
GORHAM, ME 04038
Nurse Practitioner (Family)
575 MAIN ST
GORHAM, ME 04038
Physician Assistant
575 MAIN ST
GORHAM, ME 04038

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 Kimberly Wells's NPI number?

The NPI number for Kimberly Wells is 1902484587. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Kimberly Wells located?

Kimberly Wells practices at 575 Main St, Gorham, ME 04038. The listed phone number is (207) 839-2559.

What is Kimberly Wells's specialty?

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

Is Kimberly Wells enrolled in Medicare?

Yes. Kimberly Wells is registered in the Medicare PECOS enrollment system.

Is Kimberly Wells affiliated with any hospitals?

According to CMS data, Kimberly Wells is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Wells was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.