Individual provider Active NPI

Jill Charlotte Dimartinis, MD

  • Family Medicine Physician
  • Wells, ME
National Provider Identifier
1225057565
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17055 Issued in ME
Practice address
112 Sanford Rd
Wells, ME 04090-5533
Phone
(207) 646-5211
Fax
(207) 641-8151
NPI assigned
Jul 18, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 MD17055 ME Primary

Addresses

Primary practice location

112 Sanford Rd
Wells, ME 04090-5533

Mailing address

51 US Route 1 Ste a
Scarborough, ME 04074-7145
Phone (207) 396-1440

Other practice location 1

51 US Route 1 Ste A
Scarborough, ME 04074-7145
Phone (207) 396-1440

Other identifiers 4

IdentifierTypeStateIssuer
1225057565OtherMEANTHEM
6223338OtherMECIGNA
7996841OtherMEAETNA
AA70718OtherMEHARVARD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000437 ME Practitioner - Family Practice 8628073822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

2 Great Falls PLZ
Suite 21
Auburn, ME 04210-5966
Phone (207) 330-3950

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
York Hospital Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 7, 2025 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 7, 2025 Accepting new patients
Primecare Physician Associates Family Medicine Past Accepting new patients
Alternative Wellness Services PastSince Dec 7, 2018 Accepting new patients

Locations

3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

1474 Main St
Sanford, ME 04073
Phone (207) 608-8425

112 Sanford Rd
Wells, ME 04090
Phone (207) 641-8100

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

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

Interoperability endpoints

  • Direct secure messaging: jdimartinis2796505@direct.bsmhealth.org

Organizations & group practices 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1225057565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 US ROUTE 1 STE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747145",
            "telephone_number": "207-396-1440",
            "fax_number": "207-289-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SANFORD RD",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040905533",
            "telephone_number": "207-646-5211",
            "fax_number": "207-641-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 US Route 1 Ste A",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747145",
            "country_code": "US",
            "telephone_number": "207-396-1440",
            "fax_number": "207-289-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARTINIS",
        "first_name": "JILL",
        "middle_name": "CHARLOTTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD17055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1225057565",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6223338",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7996841",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "AA70718",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

Verify at the official NPI Registry.