Individual provider Active NPI

Jennifer Joy Doucette, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eastport, ME
National Provider Identifier
1437090065
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN74087 Issued in ME
Practice address
30 Boynton St
Eastport, ME 04631-1397
Phone
(207) 853-6001
Fax
(207) 853-6180
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN74087 ME Primary

Addresses

Primary practice location

30 Boynton St
Eastport, ME 04631-1397

Mailing address

30 Boynton St
Eastport, ME 04631-1397
Phone (207) 853-6001

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
I20260617001571 ME Practitioner - Nurse Practitioner 9335611755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

Practice addresses (Care Compare)

30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN74087MEMDPsychiatric/Mental Health Nurse Practitioner

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1437090065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311397",
            "telephone_number": "207-853-6001",
            "fax_number": "207-853-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311397",
            "telephone_number": "207-853-6001",
            "fax_number": "207-853-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RN74087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastport, ME

Sources for this page

Verify at the official NPI Registry.