Kelly Waldroup, NP - Medicare Nurse Practitioner in Windham, ME

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Kelly Waldroup, NP is a medicare enrolled "Nurse Practitioner - Family" in Windham, Maine. Her current practice location is 582 Roosevelt Trl, Windham, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 892-3233.

Kelly Waldroup is licensed to practice in Maine (license number CNP211586) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699436758.

Contact Information

Kelly Waldroup, NP
582 Roosevelt Trl,
Windham, ME 04062-4904
(207) 892-3233
Not Available

Map and Direction




Provider's Profile

Full NameKelly Waldroup
GenderFemale
SpecialityNurse Practitioner - Family
Location582 Roosevelt Trl, Windham, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699436758
  • Provider Enumeration Date: 12/31/2021
  • Last Update Date: 12/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163809690
  • Enrollment ID: I20220521000309

Medical Identifiers

Medical identifiers for Kelly Waldroup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699436758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP211586 (Maine)Primary

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. Kelly Waldroup allows following entities to bill medicare on her behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467477349
PECOS PAC ID: 9335043967
Enrollment ID: O20031125000026
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598780447
PECOS PAC ID: 9335043967
Enrollment ID: O20040220000847
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144090
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000191
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144245028
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000321
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. Kelly Waldroup 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
Kelly Waldroup, NP
582 Roosevelt Trl,
Windham, ME 04062-4904

Ph: (207) 892-3233		Kelly Waldroup, NP
582 Roosevelt Trl,
Windham, ME 04062-4904

Ph: (207) 892-3233

Reviews and Comments


Nurse Practitioner Nurses in Windham, ME

Olga Alexandra Sill, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 582 Roosevelt Trl, Windham, ME 04062
Phone: 207-892-3233    Fax: 207-893-0752
Hope Leblanc, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17 Mallison Falls Rd, Windham, ME 04062
Phone: 207-893-7080    Fax: 207-892-0173
Kelly Christine Guildford, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 409 Roosevelt Trl, Windham, ME 04062
Phone: 207-400-8600    
Ashly Jewell, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 582 Roosevelt Trl, Windham, ME 04062
Phone: 207-892-3233    
Emily Martin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 584 Roosevelt Trl, Windham, ME 04062
Phone: 207-892-3233    
Amber Lynn Berube, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 Crossridge Dr, Windham, ME 04062
Phone: 207-577-0010    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.