Active NPI
Nathan T. Jean, D.O.
- Family Medicine Physician
- Kittery, ME
National Provider Identifier
1215164082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2285
- Practice address
- 22 Shapleigh Rd
Kittery, ME 03904-1455 - Phone
- (207) 439-4430
- Fax
- (207) 439-0968
- NPI assigned
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT012903 | PA | |
| Family Medicine Physician | 207Q00000X | 2285 | ME | Primary |
Addresses
Primary practice location
22 Shapleigh Rd
Kittery, ME 03904-1455
Mailing address
22 Shapleigh Rd
Kittery, ME 03904-1455
Phone (207) 439-4430
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
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Walker St
Kittery Family Practice
Kittery, ME 03904-1727
Phone (207) 439-4430
Hospital & facility affiliations
- Amedisys Home Health
- Cornerstone Vna
- York Hospital Home Care
- Beacon Hospice, an Amedisys Company
- York Hospital
- Wentworth-Douglass Hospital
- Portsmouth Regional Hospital
- Lahey Hospital & Medical Center, Burlington
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2285 | ME | MD | Family Medicine Physician |
| OT012903 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Family Medicine | Current | Accepting new patients |
| Seacoast Pathology Inc | Current | Accepting new patients |
Locations
35 Walker St
Kittery, ME 03904
Phone (207) 439-4430
22 Shapleigh Rd
Kittery, ME 03904
Phone (207) 439-4430
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- nathan.jean@yh.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Home Health Agency
- York, ME
- NPI 1538144662
-
- Home Health Agency
- Portsmouth, NH
- NPI 1326230251
-
- Community Based Hospice Care Agency
- Portsmouth, NH
- NPI 1023193703
-
- Community Based Hospice Care Agency
- Concord, NH
- NPI 1053519272
-
- Community Based Hospice Care Agency
- Keene, NH
- NPI 1699969535
-
- Home Health Agency
- Rochester, NH
- NPI 1508829045
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1215164082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SHAPLEIGH RD",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041455",
"telephone_number": "207-439-4430",
"fax_number": "207-439-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SHAPLEIGH RD",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041455",
"telephone_number": "207-439-4430",
"fax_number": "207-439-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "NATHAN",
"middle_name": "T.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT012903",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "2285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.