Individual provider Active NPI

Jennifer Kendra Daigle, N.P.

  • General Practice Physician
  • Portland, ME
National Provider Identifier
1871547141
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
APO81100 Issued in ME
Practice address
331 Veranda St
Portland, ME 04103-5545
Phone
(207) 828-2402
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 RO51002 ME
Adult Health Nurse Practitioner 363LA2200X 250334 MA
General Practice Physician 208D00000X APO81100 ME Primary

Addresses

Primary practice location

331 Veranda St
Portland, ME 04103-5545

Mailing address

PO Box 9746
Portland, ME 04104-5040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.daigle.1@5857.direct.athenahealth.com

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
I20091020000097 ME Practitioner - Nurse Practitioner 3971549809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Community Health CenterGroup PAC ID 5395998017, 37 clinicians

Practice addresses (Care Compare)

100 Brickhill Ave
Portland, ME 04106-1999
Phone (207) 874-2141

180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141

295 Park Ave
Portland, ME 04102-2911
Phone (207) 874-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO81100MEMDGeneral Practice Physician
RO51002MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Medicine CurrentSince Aug 31, 2009 Accepting new patients
Portland Community Health Center CurrentSince Aug 30, 2021 Accepting new patients
Portland Community Health Center CurrentSince Aug 30, 2021 Accepting new patients
Martin'S Point Health Care, Inc. CurrentSince Jan 17, 2017 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Portland Community Health Center Past Accepting new patients
Planned Parenthood of Northern New England, Inc PastSince Jun 21, 2006 Accepting new patients

Locations

180 Park Ave
Ste 1
Portland, ME 04102
Phone (207) 828-2101

63 Preble St
Portland, ME 04101
Phone (207) 822-0232

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

83 India St
Portland, ME 04101
Phone (207) 347-7132

100 Brickhill Ave
South Portland, ME 04106
Phone (207) 773-1728

100 Brickhill Ave
Ste 201
South Portland, ME 04106
Phone (207) 773-1728

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.daigle.p1@direct.portlandchc.nextgenshare.com

Organizations & group practices 7

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 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1871547141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 VERANDA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035545",
            "telephone_number": "207-828-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "JENNIFER",
        "middle_name": "KENDRA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "RO51002",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "250334",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "APO81100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.daigle.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "331 Veranda St",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041035545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.