NPIMap

Individual provider Active NPI

Jennifer Cavalari

  • Family Medicine Physician
  • Houlton, ME
National Provider Identifier
1215340617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2739 Issued in ME
Practice address
20 Hartford St
Houlton, ME 04730-1891
Phone
(207) 532-2900
NPI assigned
Jun 4, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2739 ME Primary

Addresses

Primary practice location

20 Hartford St
Houlton, ME 04730-1891

Mailing address

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171002003075 ME Practitioner - Family Practice 8527285824 Reassigns benefits to 3 organizations
I20250501000531 VT Practitioner - Family Practice 8527285824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Medical Services LLCGroup PAC ID 7618342254, 16 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

312 Crescent Blvd
Bennington, VT 05201-2419
Phone (207) 200-5907

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

4 Union Park Rd
Suite 8
Topsham, ME 04086-1711
Phone (207) 200-5907

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2739MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Aug 8, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Aug 8, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Ventura Medical Services LLC Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
North Country Associates, Inc Past Accepting new patients
Breakwater Commons Operations, LLC Past Accepting new patients
North Country Associates, Inc Past Accepting new patients
VK Bangor, LLC Past Accepting new patients
Houlton Regional Hospital Past Accepting new patients
VK Brewer, LLC Past Accepting new patients
North Country Associates, Inc Past Accepting new patients
Westgate Center for Health and Rehabilitation LLC Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

4 Union Park Rd
#8
Topsham, ME 04086
Phone (207) 200-5907

4 Union Park Rd
Ste 8
Topsham, ME 04086

149 North St
Waterville, ME 04901
Phone (207) 622-1959

312 Crescent Blvd
Bennington, VT 05201
Phone (207) 200-5907

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eastside Center for Health & Rehabilitation LLCBangor, ME, CCN 205106 Skilled nursing facility Adp of the SNF Apr 16, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • VK Bangor, LLC

    dba Eastside Center for Health & Rehabilitation LLC

    • Skilled Nursing Facility
    • Bangor, ME
    • NPI 1366782765

    Adp of the SNF

    CMS ownership

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215340617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301891",
            "telephone_number": "207-532-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301891",
            "telephone_number": "207-532-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALARI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.