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JESSE KNOWLTON
NPI 1083073480
Nurse Anesthetist, Certified Registered in Bangor, ME

Active since February 15, 2016Accepts Medicare Assignment
98.44/100
CMS Quality Rating
360 BROADWAY, BANGOR, ME 04401(207) 907-1430(207) 907-3508 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Dec 2, 2019, Oct 25, 2017 and 1 more (4 updates tracked since 2016).

About Jesse Knowlton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE KNOWLTON (NPI 1083073480) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (RNA173051) and active in the NPI registry since February 2016. He is affiliated with St Joseph Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083073480
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJESSE KNOWLTON
Location Address360 BROADWAYBangor, ME 04401-3900
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-1430
Fax(207) 907-3508
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 15, 2016
Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1083073480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ME · RNA173051
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
360 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse Knowlton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981965357
PECOS Enrollment IDI20180227001367

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155
DR. AMINA S QAZI DO, PHARMD
Internal Medicine (Cardiovascular Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Knowlton's NPI number?

The NPI number for Jesse Knowlton is 1083073480. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Jesse Knowlton located?

Jesse Knowlton practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1430.

What is Jesse Knowlton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jesse Knowlton enrolled in Medicare?

Yes. Jesse Knowlton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jesse Knowlton affiliated with any hospitals?

According to CMS data, Jesse Knowlton is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Knowlton was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.