NPIMap

Individual provider Active NPI

Jeffrey A Hobbs, PAC

  • Physician Assistant
  • Jackman, ME
National Provider Identifier
1366919391
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2786 Issued in ME
Practice address
376 Main St
Jackman, ME 04945-5214
Phone
(207) 668-7755
NPI assigned
Oct 29, 2018
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2786 ME Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

376 Main St
Jackman, ME 04945-5214

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice location 1

5005 n. piedras street, attn;
Wbamc
El PAso, TX 79920-5001
Phone (915) 742-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240906004100 TX Practitioner - Physician Assistant 4587104377 Reassigns benefits to 1 organization
I20250210000194 ME Practitioner - Physician Assistant 4587104377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Community Health CenterGroup PAC ID 0143212670, 135 clinicians

Practice addresses (Care Compare)

1012 Union St
Bangor, ME 04401-3058

1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181

376 Main St
Jackman, ME 04945-5214
Phone (207) 668-7755

992 Union St
Bangor, ME 04401-3057

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2786MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center CurrentSince Mar 1, 2025 Accepting new patients
Lynn County Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Penobscot Community Health Center CurrentSince Mar 1, 2025 Accepting new patients
Lynn County Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Penobscot Community Health Center Past Accepting new patients
North Country Associates, Inc Past Accepting new patients

Locations

1012 Union St
Ste 1
Bangor, ME 04401
Phone (207) 992-4100

376 Main St
Jackman, ME 04945
Phone (207) 668-2691

376 Main St
#155
Jackman, ME 04945

1104 N Avenue S
Post, TX 79356
Phone (806) 495-2853

2600 Lockwood St
Tahoka, TX 79373
Phone (806) 998-4533

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lynncty-64b802e7

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1366919391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MAIN ST",
            "city": "JACKMAN",
            "state": "ME",
            "postal_code": "049455214",
            "telephone_number": "207-668-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 n. piedras street, attn;",
            "address_2": "WBAMC",
            "address_purpose": "LOCATION",
            "city": "El PAso",
            "state": "TX",
            "postal_code": "799205001",
            "country_code": "US",
            "telephone_number": "915-742-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2786",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackman, ME

Sources for this page

Verify at the official NPI Registry.