Jessica R. Gagnon, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP81824 Issued in ME

Practice address

140 Academy St
Presque Isle, ME 04769-3102

Phone

(207) 764-5437

Fax

(207) 764-4760

NPI assigned

Dec 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica R. Bresett Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Horizons Health Services

  • Health Service Clinic/Center
  • Presque Isle, ME
  • NPI 1356676977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1851573489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-5437",
            "fax_number": "207-764-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-5437",
            "fax_number": "207-764-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "JESSICA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP81824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851573489",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRESETT",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliet Coffey Freeman, FNP
• Larry A. French Jr., MHRT-CSP
• Roy Frieband, D.O.
• Stacey H Frost, LMSW-CC
• Full Circle Health Care LLC
• Sarah E Gahagan
• Donna L Gallant, C.PED, BOCO, CMF
• Mary Gallant, FNP
• Paulette J Garrison, MHRT-CSP
• Skylah Gendreau, TCM/MHRTC/LMSW-CC

• Nurse Practitioner in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.