Individual provider Active NPI

Jesse Michael Cheney, PA-C

  • Medical Physician Assistant
  • Damariscotta, ME
National Provider Identifier
1124440672
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1897 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4252
Fax
(207) 810-4980
NPI assigned
Jan 16, 2014
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1897 ME Primary
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 1

TypeEndpointUseAffiliation
Direct Messaging Address jcheney1150111@direct.bsmhealth.org St. Mary's Regional Medical Center

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514002104 ME Practitioner - Physician Assistant 0042553026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1897MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jul 26, 2021 Accepting new patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 1, 2025 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
Damariscotta, ME 04543
Phone (207) 563-4250

24 Miles Center Way
#1
Damariscotta, ME 04543

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
Portsmouth, NH 03801

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: jcheney1150111@direct.bsmhealth.org
  • Direct secure messaging: jcheney599721@direct.mmc.mainehealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1124440672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4252",
            "fax_number": "207-810-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4252",
            "fax_number": "207-810-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Turner St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "04210",
            "country_code": "US",
            "telephone_number": "207-330-3900",
            "fax_number": "207-330-3940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Whitten Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043306019",
            "country_code": "US",
            "telephone_number": "207-466-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112607",
            "country_code": "US",
            "telephone_number": "207-424-2272",
            "fax_number": "207-424-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1897",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcheney1150111@direct.bsmhealth.org",
            "affiliation": "Y",
            "affiliationName": "St. Mary's Regional Medical Center",
            "address_1": "791 Turner St",
            "address_2": "Unit 2",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042106314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.