Individual provider Active NPI

Jennifer Bupp Meko, MD

  • Emergency Medicine Physician
  • Portland, ME
National Provider Identifier
1568530178
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12405 Issued in NV
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

Updated by the provider on May 29, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1510701MedicaidTN
4215248OtherTNBCBS-TN
4054654MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, NY, ME, TX, IL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20101028000957 TN Practitioner - Thoracic SurgeryPractitioner - Emergency Medicine 5496790743 Reassigns benefits to 3 organizations
I20120619000563 AL Practitioner - Emergency Medicine 5496790743 Reassigns benefits to 1 organization
I20200224000966 NY Practitioner - Emergency Medicine 5496790743 Reassigns benefits to 1 organization
I20210526002026 ME Practitioner - Emergency Medicine 5496790743 Reassigns benefits to 4 organizations
I20211027000484 TX Practitioner - General SurgeryPractitioner - Thoracic Surgery 5496790743
I20250625000915 IL Practitioner - Emergency Medicine 5496790743 Reassigns benefits to 2 organizations

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
City of CaribouGroup PAC ID 6800707811, 36 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
12405NVMDEmergency Medicine Physician
MD0000035391TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Valley Hospital Current Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
MRH Corp. Current Accepting new patients
Memorial Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Nov 1, 2021 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 4, 2020 Accepting new patients
City of Caribou CurrentSince Oct 1, 2021 Accepting new patients
Memorial Hospital Association CurrentSince Jul 1, 2025 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 CurrentSince Sep 1, 2010 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Martin's Point Health Care, Inc. CurrentSince Jan 7, 2022 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 17, 2016 Accepting new patients
United Medical Associates PC CurrentSince Jan 4, 2020 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 PastSince Jul 1, 2017 Accepting new patients
Cumberland River Hospital Inc Past Accepting new patients
Carespot Professional Services of Texas, P.a. PastSince Jul 3, 2013 Accepting new patients
Cah Acquisition Company 11 LLC PastSince Jan 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

View all 22

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": "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

Verify at the official NPI Registry.