NPIMap

Individual provider Active NPI

Jaclyn Elizabeth Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Biddeford, ME
National Provider Identifier
1073137659
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA223065 Issued in ME
Practice address
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone
(207) 283-7000
NPI assigned
May 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA223065 ME Primary

Addresses

Primary practice location

1 Medical Center Dr
Biddeford, ME 04005-9422

Mailing address

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7042

Other practice location 1

100 Campus Dr Unit 113
Scarborough, ME 04074-7172
Phone (207) 396-7750

Other practice location 2

84 Campus Dr
Scarborough, ME 04074-7133
Phone (207) 396-7000

Other practice location 3

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526

Other practice location 4

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 662-8000

Other practice location 5

25 June St
Sanford, ME 04073-2621
Phone (207) 490-7450

Other practice location 6

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Other names 1

  • Jaclyn Elizabeth Masters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109002395 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618344391 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

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

State licenses

LicenseStateTypeSpecialty
RNA223065MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 17, 2024 Accepting new patients
Rumford Hospital CurrentSince Apr 12, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Sep 18, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Bridgton Hospital CurrentSince Apr 12, 2025 Accepting new patients
Mainehealth CurrentSince Mar 17, 2024 Accepting new patients
Rumford Hospital CurrentSince Apr 12, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Sep 18, 2022 Accepting new patients
Bridgton Hospital CurrentSince Apr 12, 2025 Accepting new patients
Mainehealth Past Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

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

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

25 June St
Sanford, ME 04073
Phone (207) 324-4310

84 Campus Dr
Scarborough, ME 04074
Phone (207) 396-7000

100 Campus Dr
Unit 113
Scarborough, ME 04074
Phone (207) 396-7750

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1073137659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-283-7042",
            "fax_number": "207-283-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-283-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Dr Unit 113",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747172",
            "country_code": "US",
            "telephone_number": "207-396-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747133",
            "country_code": "US",
            "telephone_number": "207-396-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2526",
            "fax_number": "207-662-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022363",
            "country_code": "US",
            "telephone_number": "207-662-8000",
            "fax_number": "207-662-6234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 June St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732621",
            "country_code": "US",
            "telephone_number": "207-490-7450",
            "fax_number": "207-490-7452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407027",
            "country_code": "US",
            "telephone_number": "207-795-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JACLYN",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "MASTERS",
            "middle_name": "ELIZABETH",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.