Active NPI
Jessika T Morin, MD
- Family Medicine Physician
- East Waterboro, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0432385 | KS | MD | Family Medicine Physician |
| MD19755 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Everest Recovery Centers - Maine | Current | Accepting new patients | |
| Recover Together, Inc. | Family Medicine | Current | Accepting new patients |
| Recover Together, LLC | Family Medicine | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Catholic Charities Maine | Current | 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
- 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.
-
- Clinical Social Worker
- Portland, ME
- NPI 1013955947
-
dba MaineHealth Pharmacy Maine Medical Center Biddeford
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
dba Groups Recover Together
- Adult Mental Health Clinic/Center
- Lawrenceburg, IN
- NPI 1891102497
Family Medicine, ME
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Saco, ME
- NPI 1720650823
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
dba Groups Recover Together
- Adult Mental Health Clinic/Center
- London, KY
- NPI 1346736758
Family Medicine
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
- Grace Elizabeth Lacourse
- Jason Alexander Lange
- Katelyn Marie Pio Lovely, NP
- Mainehealth (SMHC Walk In Care-Waterboro)
- McGarrigle RX Consulting LLC (Good for All Pharmacy)
- Nichole Charise Martin Reader, FNP
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic & Sports Physical Therapy)
- Rebecca R Schunneman, LMT
- Selective Care Solutions
- Southern Maine Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.