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

Kate G Thibodeaux, FNPC

Individual provider Nurse Practitioner · NPI 1376217075

Kate G Thibodeaux, FNPC is a Nurse Practitioner in Old Town, Maine. Qualified in 2021, 5 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021

Practice location Address checks out

242 Brunswick St
Old Town, ME 04468-1613
Phone: (207) 827-6128
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP211240 (ME)

Record details

NPI number1376217075
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPC
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021
Mailing addressPo Box 1599, Bangor, ME 04402-1599

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Old Town