Active NPI
Nicole Sarah Rockwell Jederlinic, DO
- Child & Adolescent Psychiatry Physician
- Rockland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- DO3501
- Practice address
- 12 Union St
Rockland, ME 04841-2739 - Phone
- (207) 701-4400
- Fax
- (207) 701-4487
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.012476 | OH | |
| Psychiatry Physician | 2084P0800X | DO3501 | ME | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 34.012476 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | DO3501 | ME | Primary |
Addresses
Primary practice location
12 Union St
Rockland, ME 04841-2739
Mailing address
12 Union St
Rockland, ME 04841-2739
Phone (844) 292-0111
Other practice location 1
4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-0254
Other practice location 2
15 Anchor Dr Ste 103
Rockport, ME 04856-3847
Phone (207) 301-5600
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Union St
Rockland, ME 04841-2739
Phone (844) 292-0111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
12 Union St
Rockland, ME 04841
Phone (207) 701-4400
15 Anchor Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5600
Interoperability endpoints
- njederlinic83449@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Pen Bay Hospital
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Pen Bay Hospital
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1598185191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 UNION ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412739",
"telephone_number": "844-292-0111",
"fax_number": "207-701-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 UNION ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412739",
"telephone_number": "207-701-4400",
"fax_number": "207-701-4487"
}
],
"practiceLocations": [
{
"address_1": "4075 Old Western Row Rd",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "OH",
"postal_code": "450403104",
"country_code": "US",
"telephone_number": "513-536-0254",
"fax_number": "513-536-0609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Anchor Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Rockport",
"state": "ME",
"postal_code": "048563847",
"country_code": "US",
"telephone_number": "207-301-5600",
"fax_number": "207-301-5360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEDERLINIC",
"first_name": "NICOLE",
"middle_name": "SARAH ROCKWELL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "34.012476",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "DO3501",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "34.012476",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "ME",
"license": "DO3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.