Individual provider Active NPI

Jessie K Tilden, CNM

  • Midwife
  • Bar Harbor, ME
National Provider Identifier
1629033790
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM92002 Issued in ME
Practice address
330 Main St
Bar Harbor, ME 04609-1636
Phone
(207) 288-8100
Fax
(207) 801-5124
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM92002 ME Primary

Addresses

Primary practice location

330 Main St
Bar Harbor, ME 04609-1636

Mailing address

330 Main St
Bar Harbor, ME 04609-1636
Phone (207) 288-8100

Other names 1

  • Jessie K Anderson Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091121000102 ME Practitioner - Certified Nurse Midwife (CNM) 0749329225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

895 Union St
Suite 12
Bangor, ME 04401-3054
Phone (207) 973-7979

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Sep 24, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 17, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Sep 24, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 17, 2025 Accepting new patients
Mount Desert Island Hospital PastSince Aug 27, 2023 Accepting new patients

Locations

895 Union St
Ste 12
Bangor, ME 04401
Phone (207) 973-7973

489 State St
Bangor, ME 04401
Phone (207) 973-8837

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

50 Union St
Ste 3200
Ellsworth, ME 04605
Phone (207) 664-5650

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1629033790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091636",
            "telephone_number": "207-288-8100",
            "fax_number": "207-801-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091636",
            "telephone_number": "207-288-8100",
            "fax_number": "207-801-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDEN",
        "first_name": "JESSIE",
        "middle_name": "K",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ME",
            "license": "CNM92002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "ANDERSON",
            "middle_name": "K",
            "credential": "CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.