Active NPI
Jarryd Rossignol, DO
- Family Medicine Physician
- Presque Isle, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2904
- Practice address
- 66 Spruce St Ste 4
Presque Isle, ME 04769-3241 - Phone
- (207) 769-2025
- Fax
- (207) 764-0629
- NPI assigned
- May 4, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MED-RES.LIC 52134 | MT | |
| Family Medicine Physician | 207Q00000X | DO2904 | ME | Primary |
Addresses
Primary practice location
66 Spruce St Ste 4
Presque Isle, ME 04769-3241
Mailing address
PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-1124
Other practice location 1
123 S 27th St
Billings, MT 59101-4227
Phone (406) 247-3330
Other practice location 2
11 Harmony Ln
Fort Fairfield, ME 04742-3354
Phone (207) 472-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14482470 | Other | CAQH PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921
74 Access Hwy
Caribou, ME 04736-3807
Phone (207) 498-2350
PO Box
Suite 40
Caribou, ME 04736
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Valley Home Health Services
- Northern Light Home Care & Hospice
- Cary Medical Center
- Northern Light a R Gould Hospital
- Houlton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-RES.LIC 52134 | MT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Caribou | Current | Accepting new patients | |
| Pines Health Services | Family Medicine | Current | Accepting new patients |
| Pines Health Services | Family Medicine | Current | Accepting new patients |
Locations
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
11 Harmony Ln
Fort Fairfield, ME 04742
Phone (207) 472-0590
66 Spruce St
Ste 4
Presque Isle, ME 04769
Phone (207) 769-2025
Interoperability endpoints
- jrossignol376983@direct.ochin.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Caribou, ME
- NPI 1780615492
-
- Federally Qualified Health Center (FQHC)
- Washburn, ME
- NPI 1922449834
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Caribou, ME
- NPI 1780615492
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
- Home Health Agency
- Caribou, ME
- NPI 1083792485
-
- Home Health Agency
- South Portland, ME
- NPI 1245236306
-
- Community Based Hospice Care Agency
- South Portland, ME
- NPI 1578683280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063867489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047360040",
"telephone_number": "207-498-1124",
"fax_number": "207-493-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 SPRUCE ST STE 4",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693241",
"telephone_number": "207-769-2025",
"fax_number": "207-764-0629"
}
],
"practiceLocations": [
{
"address_1": "123 S 27th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591014227",
"country_code": "US",
"telephone_number": "406-247-3330",
"fax_number": "406-247-3389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Harmony Ln",
"address_purpose": "LOCATION",
"city": "Fort Fairfield",
"state": "ME",
"postal_code": "047423354",
"country_code": "US",
"telephone_number": "207-472-0590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSIGNOL",
"first_name": "JARRYD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MT",
"license": "MED-RES.LIC 52134",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "DO2904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER NO.",
"identifier": "14482470",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.