Individual provider Active NPI

Jaclyn Zubiate, APRN-CNP

  • Family Nurse Practitioner
  • East Waterboro, ME
National Provider Identifier
1477005353
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP161160 Issued in ME
Practice address
10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5214
Phone
(207) 490-7760
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 CNP161160 ME Primary

Addresses

Primary practice location

10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5214

Mailing address

10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5214
Phone (207) 490-7760

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
I20161207000407 ME Practitioner - Nurse Practitioner 8325328404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

1474 Main St
Sanford, ME 04073-2426
Phone (207) 608-8425

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020

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
CNP161160MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Webber Hospital Association CurrentSince Nov 7, 2016 Accepting new patients
Mainehealth CurrentSince Nov 7, 2016 Accepting new patients
Mainehealth Current Accepting new patients
York Hospital CurrentSince Jan 7, 2024 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

10 Goodall Dr
Ste 900
East Waterboro, ME 04030
Phone (207) 490-7505

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

1474 Main St
Sanford, ME 04073
Phone (207) 608-8425

114 Sanford Rd
Wells, ME 04090
Phone (207) 641-8044

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Organizations & group practices 7

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1477005353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOODALL DR",
            "address_2": "SUITE 900",
            "city": "EAST WATERBORO",
            "state": "ME",
            "postal_code": "040305214",
            "telephone_number": "207-490-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOODALL DR",
            "address_2": "SUITE 900",
            "city": "EAST WATERBORO",
            "state": "ME",
            "postal_code": "040305214",
            "telephone_number": "207-490-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBIATE",
        "first_name": "JACLYN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Waterboro, ME

Sources for this page

Verify at the official NPI Registry.