Jennifer Ann Averill, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Damariscotta, ME
NPI 1548050792 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1548050792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP251238 (ME)
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4067 - Phone
- (207) 701-4400
- NPI assigned
- May 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111
5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521002609 | ME | Practitioner - Nurse Practitioner | 5597284760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients |
Locations
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
Interoperability endpoints
- javerill910515@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP251238 | ME | Yes |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4067
Mailing address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (844) 292-0111
Other practice location 1
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8632
Other providers in Damariscotta, ME
- Mona Drisko Alley
- Lori Ann
- Lydia Ann Atkins
- Joan M Atkinson
- Mary W Auslander
- Marjorie Elaine Averill
- Janet Dorothy Azevedo
- Megan Mary Bain
- Gray A Baldwin
- Michael Scott Baldwin
All providers in Damariscotta, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.