Individual provider Active NPI

Jessica Deanne Yentz, FNP-C

  • Family Nurse Practitioner
  • Belfast, ME
National Provider Identifier
1609493311
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP261329 Issued in ME
Practice address
116 Northport Ave Ste 112
Belfast, ME 04915-6096
Phone
(207) 505-4163
Fax
(207) 613-2570
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9211 CT
Family Nurse Practitioner 363LF0000X CNP261329 ME Primary
Family Nurse Practitioner 363LF0000X 28229593A IN

Addresses

Primary practice location

116 Northport Ave Ste 112
Belfast, ME 04915-6096

Mailing address

116 Northport Ave Ste 112
Belfast, ME 04915-6096
Phone (207) 505-4163

Other practice location 1

50 Faire Harbour Pl
New London, CT 06320-4731
Phone (860) 771-4960

Other practice location 2

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Other practice location 3

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4046

Other practice location 4

329 Maine St Ste E101
Brunswick, ME 04011-3310
Phone (207) 373-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000320 CT Practitioner - Nurse Practitioner 0446660872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28229593AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Connecticut Psychiatric & Wellness Center Past Accepting new patients

Locations

50 Faire Harbour Pl
Ste 2A
New London, CT 06320
Phone (860) 442-0564

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

1 Bradley Rd
Ste 404
Woodbridge, CT 06525
Phone (203) 298-9005

Interoperability endpoints

  • Direct secure messaging: jyentz489292@direct.ynhh.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1609493311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE STE 112",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156096",
            "telephone_number": "207-505-4163",
            "fax_number": "207-613-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE STE 112",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156096",
            "telephone_number": "207-505-4163",
            "fax_number": "207-613-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Faire Harbour Pl",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204731",
            "country_code": "US",
            "telephone_number": "860-771-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-921-8969",
            "fax_number": "207-910-4407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4046",
            "fax_number": "207-810-4994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Maine St Ste E101",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113310",
            "country_code": "US",
            "telephone_number": "207-373-2266",
            "fax_number": "207-910-4413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENTZ",
        "first_name": "JESSICA",
        "middle_name": "DEANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP261329",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28229593A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.