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

Kelly-Jo Kuczynski, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1841990660

Kelly-Jo Kuczynski, PMHNP-BC is a Nurse Practitioner in Lewiston, Maine. Qualified in 2022, 4 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group and accepts Medicare assignment. Licensed in Florida and Maine.

Years since qualifying
4
Licensed in
FL, ME
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

93 Campus Ave
Lewiston, ME 04240-6030
Phone: (850) 890-9666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP231083 (ME)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11025069 (FL)

Record details

NPI number1841990660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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