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

Kathleen Ingellis

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306583182

Kathleen Ingellis is a Nurse Practitioner in Springvale, Maine. Qualified in 2021, 5 years ago. Practices with York County Community Action Corp, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2022
Specialties on file
3

Practice location Address checks out

15 Oak St
Springvale, ME 04083-1926
Phone: (207) 490-6900
Fax: (207) 459-2822
Show map & directions

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

Additional practice locations (1)

  • 400 Congress St, Portland, ME 04101-3515 — (323) 205-7088

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP221094 (ME)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence CNP221094 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306583182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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 York County Community Action Corp — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springvale