Active NPI
Jacqueline Marie Caldwell, M.D.
- Family Medicine Physician
- Rockport, ME
National Provider Identifier
1700091030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD18833
- Practice address
- 15 Anchor Dr Ste 201
Rockport, ME 04856-3848 - Phone
- (207) 301-5800
- NPI assigned
- May 11, 2007
- 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 Medicine Physician | 207Q00000X | MD18833 | ME | Primary |
Addresses
Primary practice location
15 Anchor Dr Ste 201
Rockport, ME 04856-3848
Mailing address
PO Box 401
Bailey Island, ME 04003-0401
Other practice location 1
7 Farley Rd
Brunswick, ME 04011
Phone (207) 725-8079
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
Care Compare profile
Medicare Care CompareMerit-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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18833 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients |
Locations
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1558305847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1700091030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "BAILEY ISLAND",
"state": "ME",
"postal_code": "040030401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ANCHOR DR STE 201",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048563848",
"telephone_number": "207-301-5800"
}
],
"practiceLocations": [
{
"address_1": "7 Farley Rd",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "04011",
"country_code": "US",
"telephone_number": "207-725-8079",
"fax_number": "207-798-4455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD18833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.