Individual provider Active NPI

Jodie L Perfect, FNP

  • Family Nurse Practitioner
  • Lincoln, ME
National Provider Identifier
1417399205
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP131028 Issued in ME
Practice address
175 W Broadway
Lincoln, ME 04457-4000
Phone
(207) 794-6700
Fax
(207) 794-6777
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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 CNP131028 ME Primary

Addresses

Primary practice location

175 W Broadway
Lincoln, ME 04457-4000

Mailing address

175 W Broadway
PO Box 99
Lincoln, ME 04457-4000
Phone (207) 794-6700

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
I20131016001717 ME Practitioner - Nurse Practitioner 8820222300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

Practice addresses (Care Compare)

1930 Medway Rd
Medway, ME 04460-3166
Phone (207) 794-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network, Inc. CurrentSince Jul 22, 2013 Accepting new patients
Health Access Network, Inc. CurrentSince Jul 22, 2013 Accepting new patients
Health Access Network, Inc Current Accepting new patients
Health Access Network Inc Past Accepting new patients

Locations

1930 Medway Rd
Medway, ME 04460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

Organizations & group practices 4

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 6

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1417399205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W BROADWAY",
            "address_2": "PO BOX 99",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574000",
            "telephone_number": "207-794-6700",
            "fax_number": "207-794-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W BROADWAY",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574000",
            "telephone_number": "207-794-6700",
            "fax_number": "207-794-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERFECT",
        "first_name": "JODIE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP131028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

Verify at the official NPI Registry.