Jesse Michael Cheney, PA-C
Individual provider Active NPI Medical Physician Assistant · Damariscotta, ME
NPI 1124440672 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1124440672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA1897 (ME)
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4067 - Phone
- (207) 563-4252
- Fax
- (207) 810-4980
- NPI assigned
- Jan 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
35 Mile St
Damariscotta, ME 04543-4047
Phone (207) 563-1234
Hospital & facility affiliations
- Lincolnhealth
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190514002104 | ME | Practitioner - Physician Assistant | 0042553026 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1897 | ME | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
600 Center St
Auburn, ME 04210
Phone (207) 783-8951
791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900
10 Whitten Rd
Augusta, ME 04330
Phone (207) 466-2400
19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820
193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272
24 Miles Center Way
#1
Damariscotta, ME 04543
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
950 Main St
Westbrook, ME 04092
Phone (207) 517-3800
111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490
111 New Hampshire Ave
Portsmouth, NH 03801
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Interoperability endpoints
- jcheney599721@direct.mmc.mainehealth.org
- jcheney1150111@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1897 | ME | Yes |
| Physician Assistant | 363A00000X | PA1897 | ME |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4067
Mailing address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4252
Other practice location 1
791 Turner St Unit 2
Auburn, ME 04210
Phone (207) 330-3900
Other practice location 2
10 Whitten Rd
Augusta, ME 04330-6019
Phone (207) 466-2400
Other practice location 3
193 Bath Rd
Brunswick, ME 04011-2607
Phone (207) 424-2272
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcheney1150111@direct.bsmhealth.org | St. Mary's Regional Medical Center |
Other providers in Damariscotta, ME
- Catherine E. Cavanaugh
- Central Lincoln County Ambulance
- Central Lincoln County Young Men'S Christian Association, Inc.
- Diane Charpentier
- Taylor Lynn Chase
- Child Development Services - Lincoln
- Jason Cienega
- John D Clark
- Sonia P Clime
- Coastal Kids Preschool
All providers in Damariscotta, ME · Medical Physician Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.