Karen Stoughton, MSN, FNP-C - Medicare Nurse Practitioner in Portland, ME

Karen Stoughton, MSN, FNP-C is a medicare enrolled "Nurse Practitioner" in Portland, Maine. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mainehealth and her current practice location is 887 Congress St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 774-6368.

Karen Stoughton is licensed to practice in Maine (license number CNP141024) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477952075.

Contact Information

Karen Stoughton, MSN, FNP-C
887 Congress St,
Portland, ME 04102-3100
(207) 774-6368
Not Available

Map and Direction




Provider's Profile

Full NameKaren Stoughton
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location887 Congress St, Portland, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen Stoughton graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1477952075
  • Provider Enumeration Date: 08/19/2014
  • Last Update Date: 07/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567683394
  • Enrollment ID: I20141021000829

Medical Identifiers

Medical identifiers for Karen Stoughton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477952075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CNP141024 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainehealth75178605882109

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karen Stoughton allows following entities to bill medicare on her behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285738310
PECOS PAC ID: 9335043967
Enrollment ID: O20040525000396
Entity NamePortland Gastroenterology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508087289
PECOS PAC ID: 5193702967
Enrollment ID: O20040630000866
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karen Stoughton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karen Stoughton, MSN, FNP-C
887 Congress St,
Portland, ME 04102-3100

Ph: (207) 774-6368
Karen Stoughton, MSN, FNP-C
887 Congress St,
Portland, ME 04102-3100

Ph: (207) 774-6368

Reviews and Comments


Nurse Practitioner Nurses in Portland, ME

Ms. Nicole L. Mizner, C.P.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 887 Congress St, Suite 310, Portland, ME 04102
Phone: 207-773-2723    Fax: 207-773-3941
Patricia Mae Wieler, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 818 Congress St, Portland, ME 04102
Phone: 207-773-8161    
Ms. Kelly Irene Daly, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 51 Sewall St Ste 1, Portland, ME 04102
Phone: 207-774-5761    Fax: 207-874-7478
Katharine E Addicott, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2911    Fax: 207-662-6006
Leah Victoria Mahoney, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 66 Bramhall St, Portland, ME 04102
Phone: 207-662-3157    Fax: 207-662-4257
Lucy A Mack, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 161 Marginal Way, Portland, ME 04101
Phone: 207-773-7964    
Kathleen J Mongillo, MS,ARNP,BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Lancaster Street, Portland, ME 04101
Phone: 207-772-2133    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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