Active NPI
Jodi Alexis Conrad, D.O.
- Emergency Medicine Physician
- Farmington, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO3199
- Practice address
- 111 Franklin Health CMNS
Farmington, ME 04938-6144 - Phone
- (207) 778-6031
- NPI assigned
- Feb 10, 2017
- Last updated
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26413 | MS | |
| Emergency Medicine Physician | 207P00000X | DO3199 | ME | Primary |
Addresses
Primary practice location
111 Franklin Health CMNS
Farmington, ME 04938-6144
Mailing address
111 Franklin Health Commons
Farmington, ME 04938-1308
Phone (207) 778-6031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MS, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3199 | ME | MD | Emergency Medicine Physician |
| 26413 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Attala Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Leake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Down East Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients |
Locations
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
- jconrad378052@direct.mmc.mainehealth.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- General Acute Care Hospital
- Machias, ME
- NPI 1689670242
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Emergency Medicine Physician
- Kosciusko, MS
- NPI 1407103294
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Carthage, MS
- NPI 1669028130
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
dba Baileyville Medical Center
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
dba DECH Family Practic
- Multi-Specialty Clinic/Center
- Calais, ME
- NPI 1972015774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1023556990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH COMMONS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049381308",
"telephone_number": "207-778-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386144",
"telephone_number": "207-778-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JODI",
"middle_name": "ALEXIS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "26413",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "DO3199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.