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

MS. Kathryn Marie Mordino, ANP-BC

Individual provider Registered Nurse · NPI 1497092969

MS. Kathryn Marie Mordino, ANP-BC is a Nurse Practitioner in Bangor, Maine. Qualified in 2012, 14 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Maine.

Years since qualifying
14
Licensed in
MA, ME
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

21 E Summer St
Bangor, ME 04401-5513
Phone: (617) 435-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP231559 (ME)
Registered Nurse Taxonomy 163W00000X · Licence RN283154 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN283154 (MA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN283154 (MA)

Record details

NPI number1497092969
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorYes
NPI enumeratedJanuary 3, 2013
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bangor