Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Mickkelsen PMHNP Bc LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1528502002

Kristen Mickkelsen PMHNP Bc LLC is a Psychiatric/Mental Health Nurse Practitioner in Portland, Maine. Licensed in Maine. Registered with an NPI since 2016.

Licensed in
ME
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1321 Washington Ave Ste 304
Portland, ME 04103-3636
Phone: (207) 536-3088
Fax: (207) 536-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP121069 (ME)

Record details

NPI number1528502002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Mikkelsen — Owner · (207) 536-3088
NPI enumeratedDecember 19, 2016
Last updated in NPPESDecember 19, 2016
Mailing address106 Sunset Rd, Falmouth, ME 04105-2490

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