Active NPI
Julie E Pelletier, MD
- Emergency Medicine Physician
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD19367
- Practice address
- 50 Foden Rd Ste 3
South Portland, ME 04106-1718 - Phone
- (207) 523-3700
- Fax
- (207) 523-8590
- NPI assigned
- Jun 4, 2010
- Last updated
- Feb 27, 2025
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD19367 | ME | Primary |
Addresses
Primary practice location
50 Foden Rd Ste 3
South Portland, ME 04106-1718
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 828-0361
Other practice location 1
118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 505-4123
Other practice location 2
35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-4521
Other practice location 3
91 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8120
Other practice location 4
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8311
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, San Diego School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
35 Mile St
Damariscotta, ME 04543-4047
Phone (207) 563-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19367 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
181 Main St
Norway, ME 04268
Phone (207) 743-5933
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
Interoperability endpoints
- jpelletier31316@direct.mmc.mainehealth.org
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
dba MaineHealth Lincoln Hospital
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba St. Mary's Urgent Care
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Lincoln Hospital
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
dba MaineHealth Pen Bay Hospital
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1336469063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-828-0361",
"fax_number": "207-874-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FODEN RD STE 3",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061718",
"telephone_number": "207-523-3700",
"fax_number": "207-523-8590"
}
],
"practiceLocations": [
{
"address_1": "118 Northport Ave",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156009",
"country_code": "US",
"telephone_number": "207-505-4123",
"fax_number": "207-338-6820",
"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": "207-563-4521",
"fax_number": "207-810-4989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Campus Ave",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406030",
"country_code": "US",
"telephone_number": "207-777-8120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Glen Cove Dr",
"address_purpose": "LOCATION",
"city": "Rockport",
"state": "ME",
"postal_code": "048564272",
"country_code": "US",
"telephone_number": "207-921-8311",
"fax_number": "207-301-5288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLETIER",
"first_name": "JULIE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-04",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD19367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.