NPIMap

Individual provider Active NPI

Jennifer L. Hillstrom, M.D.

  • Cardiovascular Disease Physician
  • Scarborough, ME
National Provider Identifier
1881637155
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD15436 Issued in ME
Practice address
96 Campus Drive
Suite 1
Scarborough, ME 04074
Phone
(207) 885-9905
Fax
(207) 396-5600
NPI assigned
Jun 14, 2006
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD15436 ME Primary

Addresses

Primary practice location

96 Campus Drive
Suite 1
Scarborough, ME 04074

Mailing address

301C US Route One
Scarborough, ME 04074
Phone (207) 396-8600

Other identifiers 2

IdentifierTypeStateIssuer
330700099MedicaidME
30201275MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041216000430 ME Practitioner - Cardiovascular Disease (Cardiology) 2860459377 Reassigns benefits to 6 organizations
I20190415001024 NH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860459377

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Minnesota Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420

96 Campus Dr
Scarborough, ME 04074-7163
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

Merit-based Incentive Payment System (MIPS)

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

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Cardiology Associates Cardiovascular Disease Current Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
Maine Medical Partners Cardiovascular Disease CurrentSince Jan 29, 2012 Accepting new patients
Mercy Hospital CurrentSince Aug 1, 2000 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 6, 2017 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Mercy Hospital CurrentSince Aug 1, 2000 Accepting new patients
Memorial Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 6, 2017 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

198 Main St
Ste A
Lewiston, ME 04240
Phone (207) 755-4970

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

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040

149 North St
Waterville, ME 04901
Phone (207) 622-1959

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

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: jhillstrom847@direct.mmc.mainehealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1881637155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE ONE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DRIVE",
            "address_2": "SUITE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSTROM",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD15436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330700099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201275",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.