Individual provider Active NPI

Jamie Lynn Kimball, FNP

  • Family Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1932931615
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP241735 Issued in ME
Practice address
211 Main St
Waterville, ME 04901-6117
Phone
(207) 877-3450
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP241735 ME Primary

Addresses

Primary practice location

211 Main St
Waterville, ME 04901-6117

Mailing address

211 Main St
Waterville, ME 04901-6117
Phone (207) 877-3400

Other practice location 1

5 Central Maine Xing
Gardiner, ME 04345-6320
Phone (207) 588-3530

Other practice location 2

15 Enterprise Dr Ste 2
Augusta, ME 04330-7998
Phone (207) 621-8880

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
I20250117001974 ME Practitioner - Nurse Practitioner 1759810864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

15 Enterprise Dr
Mainegeneral Express Care
Augusta, ME 04330-7997
Phone (207) 621-8880

211 Main St
Waterville, ME 04901-6117
Phone (207) 877-3400

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP241735MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 15, 2024 Accepting new patients

Locations

15 Enterprise Dr
Ste 2
Augusta, ME 04330
Phone (207) 621-8800

5 Central Maine Xing
Gardiner, ME 04345
Phone (207) 582-6608

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

211 Main St
Waterville, ME 04901
Phone (207) 877-3400

Interoperability endpoints

  • Direct secure messaging: jamiekimball@mgh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1932931615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016117",
            "telephone_number": "207-877-3400",
            "fax_number": "207-877-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016117",
            "telephone_number": "207-877-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Central Maine Xing",
            "address_purpose": "LOCATION",
            "city": "Gardiner",
            "state": "ME",
            "postal_code": "043456320",
            "country_code": "US",
            "telephone_number": "207-588-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Enterprise Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043307998",
            "country_code": "US",
            "telephone_number": "207-621-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.