Active NPI
Jennifer Bupp Meko, MD
- Emergency Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12405
- Practice address
- 895 Washington Ave
Portland, ME 04103-2737 - Phone
- (207) 791-3888
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35391 | TN | |
| Emergency Medicine Physician | 207P00000X | 12405 | NV | Primary |
| Emergency Medicine Physician | 207P00000X | 036164336 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 213661 | NY | |
| Emergency Medicine Physician | 207P00000X | MD0000035391 | TN | |
| Emergency Medicine Physician | 207P00000X | 213661 | NY | |
| Emergency Medicine Physician | 207P00000X | MD24057 | ME |
Addresses
Primary practice location
895 Washington Ave
Portland, ME 04103-2737
Mailing address
9 Pheasant Hill Rd
Portland, ME 04107-9661
Phone (615) 260-7921
Other practice location 1
730 Cool Springs Blvd
Suite 800
Franklin, TN 37067-7289
Phone (615) 468-4110
Other practice location 2
1454 N County Road 2050 E
Carthage, IL 62321-3551
Phone (217) 357-8500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510701 | Medicaid | TN | |
| 4215248 | Other | TN | BCBS-TN |
| 4054654 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL, NY, ME, TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Johns Hopkins University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
163 Van Buren Rd
Suite 1
Caribou, ME 04736-3567
Phone (207) 498-3111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12405 | NV | MD | Emergency Medicine Physician |
| MD0000035391 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Valley Hospital | Current | Accepting new patients | |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
| MRH Corp. | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Marcus Zachary, D.O., P.C. | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| City of Caribou | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Carespot Professional Services of West Tennessee PLLC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Martin's Point Health Care, Inc. | Current | Accepting new patients | |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| United Medical Associates PC | Current | Accepting new patients | |
| Cardiovascular Surgery Associates, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Urgent Care Enterprise LLC | Past | Accepting new patients | |
| Cumberland River Hospital Inc | Past | Accepting new patients | |
| Carespot Professional Services of Texas, P.a. | Past | Accepting new patients | |
| Cah Acquisition Company 11 LLC | Past | Accepting new patients |
Locations
83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
895 Washington Ave
Portland, ME 04103
Phone (207) 766-3179
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
100 Old Jefferson St
Celina, TN 38551
Phone (931) 243-3581
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
326 Asbury Ave
Ste 104
Ripley, TN 38063
Phone (731) 221-2200
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
705 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-3221
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
Organizations & group practices 22
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.
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1083043566
-
- Urgent Care Clinic/Center
- Round Rock, TX
- NPI 1407195795
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
-
dba Lincoln Medical Center
- Rural Acute Care Hospital
- Fayetteville, TN
- NPI 1255066460
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1568530178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PHEASANT HILL RD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041079661",
"telephone_number": "615-260-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032737",
"telephone_number": "207-791-3888"
}
],
"practiceLocations": [
{
"address_1": "730 Cool Springs Blvd",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370677289",
"country_code": "US",
"telephone_number": "615-468-4110",
"fax_number": "615-468-4411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1454 N County Road 2050 E",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "IL",
"postal_code": "623213551",
"country_code": "US",
"telephone_number": "217-357-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEKO",
"first_name": "JENNIFER",
"middle_name": "BUPP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "35391",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "12405",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036164336",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "213661",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD0000035391",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "213661",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD24057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510701",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TN",
"identifier": "4215248",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4054654",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.