Individual provider Active NPI

Jaime Reuter Knowlton, P.A.-C

  • Physician Assistant
  • Greenville, ME
National Provider Identifier
1851673503
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200606 Issued in LA
Practice address
364 Pritham Ave
Greenville, ME 04441-7214
Phone
(207) 695-5220
Fax
(207) 695-5234
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4971 AZ
Physician Assistant 363A00000X 200606 LA Primary

Addresses

Primary practice location

364 Pritham Ave
Greenville, ME 04441-7214

Mailing address

364 Pritham Ave
Greenville, ME 04441-7214
Phone (207) 695-5220

Other names 1

  • Jaime Lynn Reuter Former name

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
I20180207000701 ME Practitioner - Physician Assistant 4183898117 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4971AZMDDentist
200606LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Healthcare Systems CurrentSince Dec 13, 2017 Accepting new patients
Center for Dermatology, PLLC PastSince Sep 1, 2025 Accepting new patients
Bopp Dermatology and Facial Plastic Surgery Past Accepting new patients
Eastern Maine Healthcare Systems Past Accepting new patients

Locations

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles a Dean Memorial Hospital 24 clinicians

Practice addresses (Care Compare)

364 Pritham Ave
Greenville, ME 04441-7214
Phone (207) 695-5200

PO Box
Suite 1129
Greenville, ME 04441-1129

Hospital & facility affiliations

  • Northern Light C a Dean Hospital Hospital, Greenville, ME, CCN 201301

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
74.14
Promoting interoperability
95
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1851673503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 PRITHAM AVE",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044417214",
            "telephone_number": "207-695-5220",
            "fax_number": "207-695-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 PRITHAM AVE",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044417214",
            "telephone_number": "207-695-5220",
            "fax_number": "207-695-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "JAIME",
        "middle_name": "REUTER",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4971",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "REUTER",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, ME

Sources for this page

Verify at the official NPI Registry.