Active NPI
Jessica Julia House, DO
- Family Medicine Physician
- Lincoln, ME
National Provider Identifier
1205070968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME2234
- Practice address
- 175 W Broadway
Lincoln, ME 04457-4000 - Phone
- (207) 794-6700
- Fax
- (207) 794-6777
- NPI assigned
- Apr 26, 2009
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME2234 | ME | Primary |
Addresses
Primary practice location
175 W Broadway
Lincoln, ME 04457-4000
Mailing address
PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 2234 | Other | ME | MAINE MEDICAL LICENSE |
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 Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 W Broadway
Lincoln, ME 04457-0001
Phone (207) 794-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME2234 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Access Network, Inc. | Current | Accepting new patients | |
| Health Access Network, Inc | Family Medicine | Current | Accepting new patients |
| Penobscot Valley Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
- https://fhir4.healow.com/fhir/r4/DBFIBD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lincoln, ME
- NPI 1467468215
Family Medicine
-
dba Health Access Family Dental
- Federally Qualified Health Center (FQHC)
- Lincoln, ME
- NPI 1295993616
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1588720866
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1265443196
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1275646150
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205070968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044570099",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W BROADWAY",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574000",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "JESSICA",
"middle_name": "JULIA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "ME2234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE MEDICAL LICENSE",
"identifier": "ME 2234",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.