Active NPI
Jennifer Watts, NP
- Family Nurse Practitioner
- South Portland, ME
National Provider Identifier
1679926828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP161087
- Practice address
- 100 Foden Road - East
Suite 203
South Portland, ME 04106 - Phone
- (207) 874-1489
- NPI assigned
- Jul 22, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP161087 | ME | Primary |
Addresses
Primary practice location
100 Foden Road - East
Suite 203
South Portland, ME 04106
Mailing address
100 Gannett Drive
Suite C
South Portland, ME 04106
Phone (207) 347-2947
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.watts.1@5857.direct.athenahealth.com |
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
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489
100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900
575 Main St
Gorham, ME 04038-2623
Phone (207) 839-2559
Hospital & facility affiliations
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP161087 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Point Health Care, Inc. | Current | Accepting new patients | |
| Intermed, PA | Current | Accepting new patients | |
| Intermed, PA | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Past | Accepting new patients |
Locations
575 Main St
Gorham, ME 04038
Phone (207) 839-2559
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste 203
South Portland, ME 04106
Phone (207) 874-1489
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- jennifer.watts.1@5857.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- South Portland, ME
- NPI 1467422733
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
-
- Pediatrics Physician
- South Portland, ME
- NPI 1295607836
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
Hospital & facility affiliations 38
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": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1679926828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DRIVE",
"address_2": "SUITE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-347-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN ROAD - EAST",
"address_2": "SUITE 203",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-874-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP161087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.watts.1@5857.direct.athenahealth.com",
"affiliation": "N",
"address_1": "575 Main St",
"city": "Gorham",
"state": "ME",
"country_code": "US",
"postal_code": "040382623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.