Individual provider Active NPI

Jennifer Gaulin, FNP

  • Nurse Practitioner
  • Winslow, ME
National Provider Identifier
1487086658
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP131067 Issued in ME
Practice address
71 Halifax St
Winslow, ME 04901-6930
Phone
(207) 249-6610
Fax
(207) 249-6618
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP131067 ME Primary

Addresses

Primary practice location

71 Halifax St
Winslow, ME 04901-6930

Mailing address

71 Halifax St
Winslow, ME 04901-6930
Phone (207) 249-6610

Other names 1

  • Jennifer Kesaris Former name

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
I20131118001562 ME Practitioner - Nurse Practitioner 5395971519 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 Halifax St
Winslow, ME 04901-6930
Phone (207) 478-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Mar 14, 2016 Accepting new patients
Rejig Mobile Clinic Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
All Star Foot Care Nurse Practitioner CurrentSince Apr 14, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 14, 2016 Accepting new patients
Impact Health Me, LLC Nurse Practitioner CurrentSince Mar 20, 2023 Accepting new patients

Locations

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

188 Eastern Ave
Augusta, ME 04330
Phone (207) 622-3121

105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

179 Main St
Ste 307
Waterville, ME 04901
Phone (207) 405-2510

149 North St
Waterville, ME 04901
Phone (207) 622-1959

32 College Ave
Ste 102
Waterville, ME 04901
Phone (207) 859-3165

179 Main St
Ste 214
Waterville, ME 04901

71 Halifax St
Winslow, ME 04901
Phone (207) 249-6610

370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487086658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HALIFAX ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016930",
            "telephone_number": "207-249-6610",
            "fax_number": "207-249-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HALIFAX ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016930",
            "telephone_number": "207-249-6610",
            "fax_number": "207-249-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULIN",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP131067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KESARIS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winslow, ME

Sources for this page

Verify at the official NPI Registry.