Individual provider Active NPI

Jordan Douglas Palmer, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Rockport, ME
National Provider Identifier
1285978205
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA203031 Issued in ME
Practice address
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone
(207) 921-8400
Fax
(207) 921-5280
NPI assigned
Nov 15, 2012
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA203031 ME Primary
Registered Nurse 163W00000X RN57508 ME

Addresses

Primary practice location

6 Glen Cove Dr
Rockport, ME 04856-4272

Mailing address

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8400

Other practice location 1

123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000

Other practice location 2

35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-4837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729003860 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567694797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN57508MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jun 22, 2020 Accepting new patients
Choice Imaging LLC Current Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2016 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2016 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2016 Accepting new patients
Maine Anesthesia Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Mainehealth CurrentSince Jun 22, 2020 Accepting new patients
Epix Anesthesia of Tennessee PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Pulaski Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2016 Accepting new patients
Mainehealth Current Accepting new patients
Nashville Gastrointestinal Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
Mainehealth Current Accepting new patients
Maury Regional Hospital Past Accepting new patients
Vanderbilt University PastSince Jul 22, 2016 Accepting new patients
Digestive Disease Endoscopy Center Inc. Past Accepting new patients

Locations

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

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 16

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 16

Hospital & facility affiliations 1

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1285978205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8400",
            "fax_number": "207-921-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8400",
            "fax_number": "207-921-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-373-6000",
            "fax_number": "207-373-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Miles St",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434047",
            "country_code": "US",
            "telephone_number": "207-563-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JORDAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "CRNA, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA203031",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN57508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.