Individual provider Active NPI

Jessica Douin, NP

  • Nurse Practitioner
  • Augusta, ME
National Provider Identifier
1841745536
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP161147 Issued in ME
Practice address
361 Old Belgrade Rd
Augusta, ME 04330-8058
Phone
(207) 621-6100
Fax
(207) 621-6102
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP161147 ME Primary

Addresses

Primary practice location

361 Old Belgrade Rd
Augusta, ME 04330-8058

Mailing address

361 Old Belgrade Rd
Augusta, ME 04330-8058
Phone (207) 621-6100

Other practice location 1

46 Fairview Ave Ste 224
Skowhegan, ME 04976-1481
Phone (207) 858-2129

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929001058 ME Practitioner - Nurse Practitioner 5799050845 Reassigns benefits to 3 organizations

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
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

361 Old Belgrade Rd
Augusta, ME 04330-8058
Phone (207) 621-6100

Hospital & facility affiliations

  • Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Redington-Fairview General Hospital CurrentSince Apr 15, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Redington-Fairview General Hospital CurrentSince Apr 15, 2021 Accepting new patients

Locations

361 Old Belgrade Rd
Augusta, ME 04330
Phone (207) 621-6100

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

46 Fairview Ave
Ste 224
Skowhegan, ME 04976
Phone (207) 848-8340

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: jessica.douin@ronc.direct.rfgh.net

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.

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1841745536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 OLD BELGRADE RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308058",
            "telephone_number": "207-621-6100",
            "fax_number": "207-621-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 OLD BELGRADE RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308058",
            "telephone_number": "207-621-6100",
            "fax_number": "207-621-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Fairview Ave Ste 224",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761481",
            "country_code": "US",
            "telephone_number": "207-858-2129",
            "fax_number": "207-858-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUIN",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP161147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.