NPIMap

Individual provider Active NPI

Jennifer Diehl, MD

  • Family Medicine Physician
  • Waterville, ME
National Provider Identifier
1003944646
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017871 Issued in ME
Practice address
211 Main St
Waterville, ME 04901-6117
Phone
(207) 877-3400
Fax
(207) 877-3401
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017871 ME Primary

Addresses

Primary practice location

211 Main St
Waterville, ME 04901-6117

Mailing address

15 Enterprise Dr
Augusta, ME 04330-7894
Phone (207) 621-8800

Other identifiers 1

IdentifierTypeStateIssuer
1003944646MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000208 ME Practitioner - Family Practice 4183893415 Reassigns benefits to 1 organization
I20250925000701 NC Practitioner - Family Practice 4183893415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians

Practice addresses (Care Compare)

113 E Grover St
Shelby, NC 28150-3803
Phone (828) 487-5228

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Marion, NC, CCN 347044
  • Advent Health Polk Hospital, Columbus, NC, CCN 341322
  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Nov 1, 2013 Accepting new patients
Hopscotch Primary Care, PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Raleigh Durham Medical Group PA Family Medicine Past Accepting new patients
Hopscotch Primary Care Group, PA Family Medicine Past Accepting new patients

Locations

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

211 Main St
Waterville, ME 04901
Phone (207) 877-3400

149 North St
Waterville, ME 04901
Phone (207) 622-1959

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

113 E Grover St
Shelby, NC 28150
Phone (704) 487-5228

2819 Lynn Rd
Tryon, NC 28782
Phone (828) 859-9783

Interoperability endpoints

  • Direct secure messaging: jennifer.diehl.1@26812.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1003944646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENTERPRISE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307894",
            "telephone_number": "207-621-8800",
            "fax_number": "207-621-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016117",
            "telephone_number": "207-877-3400",
            "fax_number": "207-877-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "017871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003944646",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.