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

Kimberly Ann Marshall, NP

Individual provider Gerontology Nurse Practitioner · NPI 1639573421

Kimberly Ann Marshall, NP is a Nurse Practitioner in Ellsworth, Maine. Qualified in 2021, 5 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maine and Virginia.

Years since qualifying
5
Licensed in
ME, VA
In the registry since
2014
Specialties on file
5
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

102 Main St Ste D
Ellsworth, ME 04605-1919
Phone: (207) 613-7500
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence CNP211108 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024172127 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0024172127 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024172127 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence CNP211108 (ME)

Record details

NPI number1639573421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 22, 2014
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address102 Main St Ste D, Ellsworth, ME 04605-1919

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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