Active NPI
Jessica Perez, M.D.
- Emergency Medicine Physician
- Skowhegan, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD23761
- Practice address
- 46 Fairview Ave
Skowhegan, ME 04976-1481 - Phone
- (207) 474-5121
- Fax
- (207) 474-3441
- NPI assigned
- Apr 4, 2017
- 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 | MD23761 | ME | Primary |
| Family Medicine Physician | 207Q00000X | MD23761 | ME |
Addresses
Primary practice location
46 Fairview Ave
Skowhegan, ME 04976-1481
Mailing address
PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-5121
Other practice location 1
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 248-5000
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Family Medicine | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1063945301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049760468",
"telephone_number": "207-474-5121",
"fax_number": "207-474-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FAIRVIEW AVE",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761481",
"telephone_number": "207-474-5121",
"fax_number": "207-474-3441"
}
],
"practiceLocations": [
{
"address_1": "35 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043308160",
"country_code": "US",
"telephone_number": "207-248-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD23761",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD23761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.