Active NPI
Jane Kathryn Haslam, CRNA
- Certified Registered Nurse Anesthetist
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AA083288
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 973-4519
- Fax
- (207) 992-4132
- NPI assigned
- May 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9180425 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | AA083288 | ME | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
141 N Main St Ste 205
Brewer, ME 04412-2055
Phone (207) 973-4519
Other names 1
- Jane Kathryn Kucinski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061219000547 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8921018151 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cec LLCEastern Maine Medical Center
Practice addresses (Care Compare)
128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239
Phone (207) 667-6300
417 State St
Bangor, ME 04401-6639
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 71.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.15 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 77.69
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9180425 | FL | MD | Certified Registered Nurse Anesthetist |
| AA083288 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Anesthesia L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cec, LLC | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Coastal Eye Surgery Center, LLC | Past | Accepting new patients | |
| Sebasticook Valley Health | Past | Accepting new patients | |
| Cesc, LLC | Past | Accepting new patients | |
| Collier Anesthesia PA | Past | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032
141 N Main St
Ste 205
Brewer, ME 04412
Phone (207) 992-4032
128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300
128 Bucksport Rd
#A
Ellsworth, ME 04605
Phone (207) 667-6300
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
128 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 667-6300
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Bangor, ME
- NPI 1194176040
ME, Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Ambulatory Surgical Clinic/Center
- Ellsworth, ME
- NPI 1063878734
-
- Ophthalmologic Surgery Clinic/Center
- Ellsworth, ME
- NPI 1366620726
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
-
- Anesthesiology Physician
- Naples, FL
- NPI 1649251745
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": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1770535221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 N MAIN ST STE 205",
"city": "BREWER",
"state": "ME",
"postal_code": "044122055",
"telephone_number": "207-973-4519",
"fax_number": "207-992-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-973-4519",
"fax_number": "207-992-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASLAM",
"first_name": "JANE",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9180425",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "AA083288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "KUCINSKI",
"middle_name": "KATHRYN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.