Individual provider Active NPI

Jamie Lowery Piacentini

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1629518519
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP181259 Issued in ME
Practice address
71 US Route 1 Ste J
Scarborough, ME 04074-7168
Phone
(207) 770-5621
Fax
(207) 203-4875
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 075242-23 NH
Family Nurse Practitioner 363LF0000X CNP181259 ME Primary

Addresses

Primary practice location

71 US Route 1 Ste J
Scarborough, ME 04074-7168

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (207) 770-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170329002035 NH Practitioner - Nurse Practitioner 9133404445 Reassigns benefits to 1 organization
I20200311001583 ME Practitioner - Nurse Practitioner 9133404445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

71 US Route 1
Suite J
Scarborough, ME 04074-7168
Phone (207) 464-2712

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
075242-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC CurrentSince Oct 2, 2019 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Jan 14, 2020 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Oct 2, 2019 Accepting new patients
Optima Dermatology LLC CurrentSince Oct 16, 2023 Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients

Locations

125 Presumpscot St
Unit 18
Portland, ME 04103

125 Presumpscot St
Unit Btw
Portland, ME 04103

71 US Route 1
Ste J
Scarborough, ME 04074
Phone (207) 464-2712

519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

155 Borthwick Ave
Ste 201W
Portsmouth, NH 03801
Phone (603) 433-9575

330 Borthwick Ave
Ste 303
Portsmouth, NH 03801
Phone (603) 431-5205

155 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (504) 914-5254

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: jlowery@nedermatology.emadirect.md
  • Direct secure messaging: jpiacentini@optima.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1629518519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "207-770-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1 STE J",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747168",
            "telephone_number": "207-770-5621",
            "fax_number": "207-203-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIACENTINI",
        "first_name": "JAMIE",
        "middle_name": "LOWERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075242-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.