Active NPI
Jacob A Denoncourt, MD
- Emergency Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD24639
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-2381
- Fax
- (207) 662-6006
- NPI assigned
- Mar 24, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD24639 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2381
Other practice location 1
111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 661-2018
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 Compare- Specialty
- Emergency Medicine
- Education
- University of Virginia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Emergency Medicine | Past | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
243 Elm St
Claremont, NH 03743
Phone (603) 542-7771
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- jdenoncourt173269@direct.mmc.mainehealth.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Maternal & Fetal Medicine Physician
- Portland, ME
- NPI 1063726891
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1881974665
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1811492796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-2381",
"fax_number": "207-662-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-2381",
"fax_number": "207-662-6006"
}
],
"practiceLocations": [
{
"address_1": "111 Franklin Health Cmns",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "ME",
"postal_code": "049386144",
"country_code": "US",
"telephone_number": "207-661-2018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENONCOURT",
"first_name": "JACOB",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-24",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD24639",
"primary": true
}
],
"identifiers": [],
"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 Mar 13, 2025; 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.