Kellie Ann Goudreau, MS, PA-C
NPI 1235410515 · Emergency Medicine Physician · Portland, ME
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie Ann Goudreau, MS, PA-C is a Emergency Medicine Physician provider in Portland, ME (NPI 1235410515).
Provider details
- NPI number
- 1235410515
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1775 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
419 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 128 | $106 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 75 | $66 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 72 | $138 |
| Automated Urinalysis Test81003 | 45 | $2 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 33 | $35 |
| X-Ray of Chest, 2 Views71046 | 23 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 78 | 77 |
| Cephalexin | 53 | 52 |
| Prednisone | 49 | 48 |
| Azithromycin | 32 | 32 |
| Amoxicillin | 21 | 20 |
| Doxycycline Hyclate | 21 | 20 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 20 | 20 |
Practice location
Mailing address
Additional practice locations (2)
- 25a June StSanford, ME 04073-2642Phone: (207) 490-3203
- 1090 Goat Springs RoadTaos, NM 87571Phone: (575) 758-6917
Registry dates
- Enumerated
- 2011-08-31
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Frequently asked questions
- What is Kellie Ann Goudreau's NPI number?
- Kellie Ann Goudreau's National Provider Identifier (NPI) is 1235410515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Ann Goudreau's specialty?
- Kellie Ann Goudreau is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kellie Ann Goudreau located?
- Kellie Ann Goudreau's practice location on file with NPPES is 144 State St, Portland, ME 04101-3776.
- What is Kellie Ann Goudreau's phone number?
- The practice phone number listed in the NPPES registry for Kellie Ann Goudreau is (207) 879-3000.
- Does Kellie Ann Goudreau accept Medicare?
- Kellie Ann Goudreau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie Ann Goudreau's NPI active?
- Yes — Kellie Ann Goudreau's NPI (1235410515) is active in the NPPES registry as of the last update on 2024-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.