Active NPI
Jocylin Egan, FNP
- Nurse Practitioner
- Portland, ME
National Provider Identifier
1306450655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP201134
- Practice address
- 442 Congress Street
2ND Floor
Portland, ME 04101 - Phone
- (207) 560-7053
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP201134 | ME | Primary |
Addresses
Primary practice location
442 Congress Street
2ND Floor
Portland, ME 04101
Mailing address
784 Hercules Dr
Ste 110
Colchester, VT 05446-8049
Phone (802) 210-5953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern New England | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Portland, ME
- NPI 1467843946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1306450655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 HERCULES DR",
"address_2": "STE 110",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054468049",
"telephone_number": "802-210-5953",
"fax_number": "802-660-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 CONGRESS STREET",
"address_2": "2ND FLOOR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-560-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "JOCYLIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP201134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.