Individual provider Active NPI

Janessa Maurice

  • Family Nurse Practitioner
  • Saco, ME
National Provider Identifier
1336834167
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221520 Issued in ME
Practice address
655 Main St
Saco, ME 04072-1699
Phone
(207) 603-3571
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP221520 ME Primary

Addresses

Primary practice location

655 Main St
Saco, ME 04072-1699

Mailing address

125 Harris Ave
Portland, ME 04103-1532

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
I20230515000504 ME Practitioner - Nurse Practitioner 2769848993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of New EnglandGroup PAC ID 4284534868, 13 clinicians

Practice addresses (Care Compare)

54 Gullivers Way
RM 10251026
Portland, ME 04103-2690
Phone (207) 602-3571

716 Stevens Ave
Portland, ME 04103-2656
Phone (207) 221-4242

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of New England Family CurrentSince May 4, 2023 Accepting new patients
University of New England CurrentSince May 4, 2023 Accepting new patients

Locations

208 Graham St
Biddeford, ME 04005
Phone (207) 602-3571

89 Admiral Fitch Ave
Brunswick, ME 04011
Phone (207) 729-0222

340 Bath Rd
Brunswick, ME 04011
Phone (207) 442-9200

716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4242

54 Gullivers Way
Portland, ME 04103

54 Gullivers Way
Rm 10251026
Portland, ME 04103
Phone (207) 602-3571

392 Main St
Saco, ME 04072
Phone (207) 284-0900

655 Main St
Saco, ME 04072
Phone (207) 283-1407

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

86 Sanford Rd
Wells, ME 04090
Phone (207) 646-3444

113 Landing Rd
Westbrook, ME 04092
Phone (207) 857-9007

Organizations & group practices 2

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.

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1336834167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HARRIS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721699",
            "telephone_number": "207-603-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE",
        "first_name": "JANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.