Individual provider Active NPI

Jane G. Adams, APRN-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Wells, ME
National Provider Identifier
1154430023
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
048539 Issued in ME
Practice address
112 Sanford Rd
Suite 2a
Wells, ME 04090-5533
Phone
(207) 641-8044
Fax
(207) 854-1516
NPI assigned
Aug 30, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 048539 ME Primary

Addresses

Primary practice location

112 Sanford Rd
Suite 2a
Wells, ME 04090-5533

Mailing address

15 Hospital Dr
Medical Staff Office
York, ME 03909-1011
Phone (207) 351-2478

Other identifiers 5

IdentifierTypeStateIssuer
1699860270OtherMEGROUP NPI #
010212444OtherMETAX ID #
432036099MedicaidME
100142OtherMEANTHEM
1154430023OtherMEINDIVIDUAL NPI #

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
I20051221000656 ME Practitioner - Nurse Practitioner 0648292409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

16 Hospital Dr C
York Hospital OB/GYN Surgical and Midwifery
York, ME 03909-1041
Phone (207) 351-3455

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
048539MEMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
York Hospital CurrentSince Oct 1, 2011 Accepting new patients
York Hospital PastSince Oct 1, 2011 Accepting new patients
York Hospital Dba Coastal OB-GYN, LLC Past Accepting new patients

Locations

112 Sanford Rd
Ste 2A
Wells, ME 04090
Phone (207) 351-3455

114 Sanford Rd
Wells, ME 04090
Phone (207) 641-8044

12 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-3001

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

15 Hospital Dr
Ofc
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
Ste C
York, ME 03909
Phone (207) 351-3455

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1154430023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SANFORD RD",
            "address_2": "SUITE 2A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040905533",
            "telephone_number": "207-641-8044",
            "fax_number": "207-854-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JANE",
        "middle_name": "G.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ME",
            "license": "048539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1699860270",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "010212444",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432036099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100142",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1154430023",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

Verify at the official NPI Registry.