Active NPI
Jessica Harris, PA
- Physician Assistant
- Portland, ME
National Provider Identifier
1649903378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2303
- Practice address
- 191 Marginal Way Ste a
Portland, ME 04101-3387 - Phone
- (207) 517-3838
- NPI assigned
- Jul 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2303 | ME | Primary |
Addresses
Primary practice location
191 Marginal Way Ste a
Portland, ME 04101-3387
Mailing address
191 Marginal Way Ste a
Portland, ME 04101-3387
Other practice location 1
10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2303 | Other | ME | MAINE LICENSURE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
655 Main St
Saco, ME 04072-1699
Phone (207) 294-5959
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2303 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
10 Goodall Dr
Ste 900
East Waterboro, ME 04030
Phone (207) 490-7505
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- jharris576573@direct.mmc.mainehealth.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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1578043378
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1649903378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 MARGINAL WAY STE A",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 MARGINAL WAY STE A",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013387",
"telephone_number": "207-517-3838"
}
],
"practiceLocations": [
{
"address_1": "10 Goodall Dr Ste 900",
"address_purpose": "LOCATION",
"city": "East Waterboro",
"state": "ME",
"postal_code": "040305233",
"country_code": "US",
"telephone_number": "207-490-7760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "JESSICA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-09",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE LICENSURE",
"identifier": "PA2303",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.