Individual provider Active NPI

Jason Michael Chretien, PA

  • Medical Physician Assistant
  • Augusta, ME
National Provider Identifier
1285659599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-863 Issued in ME
Practice address
219 Capitol St
Suite 2
Augusta, ME 04330-6235
Phone
(207) 529-5005
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-863 ME Primary

Addresses

Primary practice location

219 Capitol St
Suite 2
Augusta, ME 04330-6235

Mailing address

10 Pearl St
Bath, ME 04530-2713

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000875 ME Practitioner - Physician Assistant 8527006162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

34 Gilman Rd
Bangor, ME 04401-3516
Phone (207) 941-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-863MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Oct 25, 2009 Accepting new patients
Midcoast Hospital CurrentSince May 7, 2016 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Oct 25, 2009 Accepting new patients
American Current Care, PA Current Accepting new patients

Locations

4015 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 837-6447

219 Capitol St
Ste 2
Augusta, ME 04330
Phone (207) 629-5005

34 Gilman Rd
Bangor, ME 04401
Phone (207) 941-8300

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

85 Western Ave
South Portland, ME 04106
Phone (207) 408-0479

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285659599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PEARL ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "SUITE 2",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306235",
            "telephone_number": "207-529-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRETIEN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.