NPIMap

Individual provider Active NPI

Jessica Ana Kvasic, M.D

  • Cardiovascular Disease Physician
  • Lewiston, ME
National Provider Identifier
1023405479
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD24474 Issued in ME
Practice address
99 Campus Ave Ste 301
Lewiston, ME 04240-6045
Phone
(077) 775-3002
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21455 NH
Cardiovascular Disease Physician 207RC0000X MD24474 ME Primary

Addresses

Primary practice location

99 Campus Ave Ste 301
Lewiston, ME 04240-6045

Mailing address

99 Campus Ave Ste 301
Lewiston, ME 04240-6045
Phone (077) 775-3002

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Other practice location 2

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 755-3240

Other practice location 3

791 Turner St Unit 2
Auburn, ME 04210-6314
Phone (207) 330-3900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jkvasic@mmc.org
Direct Messaging Address jkvasic225045@direct.mmc.mainehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20210706001634 ME Practitioner - Cardiovascular Disease (Cardiology) 6406258045 Reassigns benefits to 4 organizations
I20210708002027 NH Practitioner - Cardiovascular Disease (Cardiology) 6406258045

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

99 Campus Ave
Lewiston, ME 04240-6045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jul 5, 2021 Accepting new patients
Maine Medical Partners CurrentSince Jul 5, 2021 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jul 5, 2021 Accepting new patients
Maine Medical Partners CurrentSince Jul 5, 2021 Accepting new patients
Mainehealth CurrentSince Jul 5, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 5, 2021 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900

99 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4455

99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: jkvasic225045@direct.mmc.mainehealth.org

Organizations & group practices 10

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1023405479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CAMPUS AVE STE 301",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406045",
            "telephone_number": "077-775-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CAMPUS AVE STE 301",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406045",
            "telephone_number": "077-775-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-755-3240",
            "fax_number": "207-755-3246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Turner St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106314",
            "country_code": "US",
            "telephone_number": "207-330-3900",
            "fax_number": "207-330-3940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KVASIC",
        "first_name": "JESSICA",
        "middle_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "21455",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD24474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkvasic@mmc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "99 Campus Ave Ste 301",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkvasic225045@direct.mmc.mainehealth.org",
            "affiliation": "N",
            "address_1": "93 Campus Ave",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.