NPIMap

Individual provider Active NPI

Jenna Jaunich, PA-C

  • Physician Assistant
  • Sanford, ME
National Provider Identifier
1457944001
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2380 Issued in ME
Practice address
27 Industrial Ave Ste 101
Sanford, ME 04073-5846
Phone
(207) 459-1666
NPI assigned
Feb 15, 2021
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2380 ME Primary

Addresses

Primary practice location

27 Industrial Ave Ste 101
Sanford, ME 04073-5846

Mailing address

27 Industrial Ave Ste 101
Sanford, ME 04073-5846
Phone (207) 459-1666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001435 ME Practitioner - Physician Assistant 1153730411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

27 Industrial Ave
Suite 101
Sanford, ME 04073-5846
Phone (207) 459-1666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA2380MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 22, 2023 Accepting new patients
Maine Medical Partners CurrentSince May 22, 2023 Accepting new patients
Maine Medical Partners CurrentSince May 22, 2023 Accepting new patients
Mainehealth CurrentSince May 22, 2023 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

27 Industrial Ave
Ste 101
Sanford, ME 04073
Phone (207) 459-1666

Interoperability endpoints

  • Direct secure messaging: jwilhelm585754@direct.mmc.mainehealth.org

Organizations & group practices 6

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1457944001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 INDUSTRIAL AVE STE 101",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735846",
            "telephone_number": "207-459-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 INDUSTRIAL AVE STE 101",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735846",
            "telephone_number": "207-459-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUNICH",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.