Individual provider Active NPI

Jill L Hunt, AGPCNP

  • Adult Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1861053852
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP241331 Issued in ME
Practice address
1068 Union St
Bangor, ME 04401-3016
Phone
(207) 404-8181
NPI assigned
Jun 21, 2019
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11002853 FL
Adult Health Nurse Practitioner 363LA2200X 11002853 FL
Adult Health Nurse Practitioner 363LA2200X CNP241331 ME Primary

Addresses

Primary practice location

1068 Union St
Bangor, ME 04401-3016

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice location 1

2800 S Seacrest Blvd Ste 160
Boynton Beach, FL 33435-7943
Phone (561) 955-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190802001466 FL Practitioner - Nurse Practitioner 0547597247 Reassigns benefits to 3 organizations
I20240808003426 ME Practitioner - Nurse Practitioner 0547597247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Community Health CenterGroup PAC ID 0143212670, 135 clinicians

Practice addresses (Care Compare)

1012 Union St
Bangor, ME 04401-3058

1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181

992 Union St
Bangor, ME 04401-3057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002853FLMDAdult Health Nurse Practitioner
APRN11002853FLMDAdult Health Nurse Practitioner
CNP241331MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Management Group of Hallandale, Inc. Multi-Specialty CurrentSince May 14, 2021 Accepting new patients
Penobscot Community Health Center Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Penobscot Community Health Center Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Steven Morris M D P a Multi-Specialty CurrentSince Jun 24, 2019 Accepting new patients
Personal Physician Care P a Multi-Specialty CurrentSince Jan 11, 2021 Accepting new patients
Penobscot Community Health Center Multi-Specialty Past Accepting new patients

Locations

2900 N Military Trl
Ste 245
Boca Raton, FL 33431
Phone (561) 994-2007

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

2100 E Hallandale Beach Blvd
Ste 307
Hallandale Beach, FL 33009
Phone (954) 454-7400

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

1012 Union St
Ste 3
Bangor, ME 04401
Phone (207) 404-8040

1068 Union St
Bangor, ME 04401
Phone (207) 404-8181

242 Brunswick St
Old Town, ME 04468
Phone (207) 827-6128

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1861053852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013016",
            "telephone_number": "207-404-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S Seacrest Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334357943",
            "country_code": "US",
            "telephone_number": "561-955-4600",
            "fax_number": "561-955-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11002853",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11002853",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP241331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.