NPIMap

Individual provider Active NPI

Jesse Leeds

  • Family Medicine Physician
  • Waterville, ME
National Provider Identifier
1487279162
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26900 Issued in ME
Practice address
149 North St
Waterville, ME 04901-4974
Phone
(207) 861-5000
Fax
(207) 861-5001
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X EC201049 ME
Family Medicine Physician 207Q00000X MD26900 ME Primary

Addresses

Primary practice location

149 North St
Waterville, ME 04901-4974

Mailing address

149 North St
Waterville, ME 04901-4974
Phone (207) 861-5000

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
I20230628003275 ME Practitioner - Family Practice 1456774561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rumford Community Family Health Center Inc.Group PAC ID 1557340460, 35 clinicians

Practice addresses (Care Compare)

420 Franklin St
Rumford, ME 04276-2104

430 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1224

Hospital & facility affiliations

  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26900MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Community Family Health Center, Inc. CurrentSince Jun 13, 2023 Accepting new patients
Rumford Hospital CurrentSince Jun 13, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Jun 13, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Rumford Hospital CurrentSince Jun 13, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 3, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 3, 2023 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

76 High St
Fl 1
Lewiston, ME 04240
Phone (207) 795-2800

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

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 4

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1487279162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-861-5000",
            "fax_number": "207-861-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-861-5000",
            "fax_number": "207-861-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "EC201049",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD26900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.