Individual provider Active NPI

Jessika T Morin, MD

  • Family Medicine Physician
  • East Waterboro, ME
National Provider Identifier
1619088010
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19755 Issued in ME
Practice address
10 Goodall Drive
East Waterboro, ME 04030
Phone
(207) 490-7760
Fax
(207) 247-8460
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0432385 KS
Family Medicine Physician 207Q00000X MD19755 ME Primary

Addresses

Primary practice location

10 Goodall Drive
East Waterboro, ME 04030

Mailing address

1 Medical Center Drive
Biddeford, ME 04005
Phone (207) 282-9080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141205000811 ME Practitioner - Family Practice 4981767605 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0432385KSMDFamily Medicine Physician
MD19755MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 17, 2014 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Everest Recovery Centers - Maine CurrentSince Jan 10, 2023 Accepting new patients
Recover Together, Inc. Family Medicine CurrentSince Aug 27, 2025 Accepting new patients
Recover Together, LLC Family Medicine CurrentSince Aug 27, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 17, 2014 Accepting new patients
Catholic Charities Maine CurrentSince Jan 5, 2022 Accepting new patients

Locations

Dept CH17590
Palatine, IL 60055

24 Dunn St
Auburn, ME 04210
Phone (207) 784-2901

171 Capitol St
Ste 2
Augusta, ME 04330

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

10 Goodall Dr
East Waterboro, ME 04030
Phone (207) 290-7780

420 Cumberland Ave
Portland, ME 04101
Phone (207) 775-5671

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

655 Main St
Saco, ME 04072
Phone (207) 294-5600

Interoperability endpoints

  • Direct secure messaging: jmorin157000@direct.mmc.mainehealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1619088010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-282-9080",
            "fax_number": "207-282-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOODALL DRIVE",
            "city": "EAST WATERBORO",
            "state": "ME",
            "postal_code": "04030",
            "telephone_number": "207-490-7760",
            "fax_number": "207-247-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "JESSIKA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0432385",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD19755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Waterboro, ME

Sources for this page

Verify at the official NPI Registry.