Individual provider Active NPI

Jodi Alexis Conrad, D.O.

  • Emergency Medicine Physician
  • Farmington, ME
National Provider Identifier
1023556990
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3199 Issued in ME
Practice address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone
(207) 778-6031
NPI assigned
Feb 10, 2017
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200401000115 VA Practitioner - Emergency Medicine 6406108463 Reassigns benefits to 1 organization
I20200612001800 MS Practitioner - Emergency Medicine 6406108463 Reassigns benefits to 2 organizations
I20210907001657 ME Practitioner - Emergency Medicine 6406108463 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3199MEMDEmergency Medicine Physician
26413MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 2, 2021 Accepting new patients
Mainehealth CurrentSince Aug 2, 2021 Accepting new patients
Down East Community Hospital CurrentSince May 1, 2022 Accepting new patients
Calais Community Hospital CurrentSince May 1, 2022 Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince May 8, 2020 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Calais Community Hospital CurrentSince May 1, 2022 Accepting new patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Jul 27, 2020 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 CurrentSince Mar 1, 2022 Accepting new patients
Down East Community Hospital CurrentSince May 1, 2022 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.