Individual provider Active NPI

Jessica Coolidge, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1215550983
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA223061 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2526
NPI assigned
May 28, 2020
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA223061 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

156 Walnut Hill Rd
North Yarmouth, ME 04097-6516

Other practice location 1

84 Marginal Way Ste 1000
Portland, ME 04101-2477
Phone (207) 347-2947

Other names 1

  • Jessica Charette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109002229 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830566512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Anesthesia L.L.C.Group PAC ID 1658668694, 8 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

161 Marginal Way
Portland, ME 04101-2438
Phone (614) 553-0964

360 Broadway
Bangor, ME 04401-3979

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True North Anesthesia L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2025 Accepting new patients
Intermed, PA CurrentSince May 23, 2024 Accepting new patients
Mercy Hospital CurrentSince Mar 3, 2024 Accepting new patients
Intermed, PA CurrentSince May 23, 2024 Accepting new patients
Mercy Hospital CurrentSince Mar 3, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 24, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 24, 2023 Accepting new patients

Locations

455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032

489 State St
Bangor, ME 04401
Phone (207) 973-8837

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

84 Marginal Way
Ste 1000
Portland, ME 04101
Phone (207) 347-2898

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Organizations & group practices 8

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 2

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1215550983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WALNUT HILL RD",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Marginal Way Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012477",
            "country_code": "US",
            "telephone_number": "207-347-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHARETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.