Jessica R Donovan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP221637 Issued in ME

Practice address

12 Schuman Ave
Augusta, ME 04330-0433

Phone

(207) 307-0958

NPI assigned

Nov 28, 2022

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Impact Health Me, LLCGroup PAC ID 9133463490, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Impact Health Me, LLC

  • Nurse Practitioner
  • Yarmouth, ME
  • NPI 1518432574
  Medicare reassignment Care Compare group NPD
• Be Well My Friend LLC

  • Family Medicine Physician
  • Augusta, ME
  • NPI 1104250158
  Medicare reassignment NPD
• Bridge Health PLLC

  • Nurse Practitioner
  • Valley Stream, NY
  • NPI 1194574285

  ME

  Medicare reassignment NPD
• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771
  Care Compare group

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1285344523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MATTSON HTS",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452810",
            "telephone_number": "207-554-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SCHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300433",
            "telephone_number": "207-307-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE BOARD OF NURSING",
            "identifier": "CNP221637",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Dobosh, DO
• Robert Paul Dohner, DO
• Kieran Donaghey
• Carey Marie Donegan, LMSW-CC
• Craig Lee Donovan, RRT
• Sadie Donovan, LMSW-CC, LADC
• Leighann Doody, CADC
• Daisy Lee Dore, L.C.S.W.
• Stephen Everett Dorsey IV, RN
• Stacey C Dostie, CRNA

• Family Nurse Practitioner in Augusta, ME
• Providers in Augusta, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.