Individual provider Active NPI

Jennifer Marie O'Connor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sanford, ME
National Provider Identifier
1861678781
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP101026 Issued in ME
Practice address
25 June St
Sanford, ME 04073-2621
Phone
(207) 490-7000
Fax
(207) 490-7002
NPI assigned
Jan 10, 2008
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP101026 ME Primary
Registered Nurse 163W00000X RN55663 ME

Addresses

Primary practice location

25 June St
Sanford, ME 04073-2621

Mailing address

25 June St
Sanford, ME 04073-2621
Phone (207) 490-7000

Other practice location 1

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8700

Other practice location 2

12 Westbrook Cmn
Westbrook, ME 04092-2819
Phone (207) 856-1500

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
I20100921000791 ME Practitioner - Nurse Practitioner 0143345611 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

12 Hospital Dr
York, ME 03909-1030

12 Hospital Dr B
York Plastic Surgery of York Hospital
York, ME 03909-1030
Phone (207) 351-3001

12 Hospital Dr C
General Surgery Associates of York Hospital
York, ME 03909-1030
Phone (207) 361-3633

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN55663MEMDRegistered Nurse
CNP101026MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinical Services, Inc. Current Accepting new patients
Community Clinical Services, Inc. CurrentSince Jan 14, 2019 Accepting new patients
York Hospital CurrentSince Nov 3, 2025 Accepting new patients
Mercy Hospital CurrentSince Sep 28, 2010 Accepting new patients
Mercy Hospital CurrentSince Sep 28, 2010 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jan 14, 2019 Accepting new patients
Mainehealth CurrentSince Sep 23, 2018 Accepting new patients
Mercy Hospital Current Accepting new patients
Community Clinical Services, Inc CurrentSince Jan 14, 2019 Accepting new patients
Mainehealth CurrentSince Sep 23, 2018 Accepting new patients
Mainehealth CurrentSince Jan 19, 2026 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jan 14, 2019 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4459

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

25 June St
Sanford, ME 04073
Phone (207) 324-4310

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

474 Main St
Springvale, ME 04083
Phone (207) 324-1500

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • Direct secure messaging: joconnor1154285@direct.bsmhealth.org

Organizations & group practices 12

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 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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1861678781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7000",
            "fax_number": "207-490-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732621",
            "telephone_number": "207-490-7000",
            "fax_number": "207-490-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-8700",
            "fax_number": "207-777-8826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Westbrook Cmn",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040922819",
            "country_code": "US",
            "telephone_number": "207-856-1500",
            "fax_number": "207-856-1518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP101026",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN55663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.