OrganizationActive
Kristen Mickkelsen Pmhnp Bc LLC
NPI 1528502002 · Psychiatric/Mental Health Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1528502002
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristin Mikkelsen, Owner(207) 536-3088
- License
- CNP121069 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1321 Washington Ave
Suite 304
Portland, ME 04103-3636
Phone: (207) 536-3088
Fax: (207) 536-3092
Street-level locationGet directions
Mailing address
106 Sunset Rd
Falmouth, ME 04105-2490
Registry dates
- Enumerated
- 2016-12-19
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.