JENSEN SCOTT SMITH
NPI 1174225163
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 21, 2023PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Mar 23, 2023 (2 updates tracked since 2023).

About Jensen Scott Smith NPPES

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

JENSEN SCOTT SMITH (NPI 1174225163) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174225163
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJENSEN SCOTT SMITH
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1174225163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 BRAMHALL ST, Portland, ME 04102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jensen Scott Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Pediatrics (Neonatal-Perinatal Medicine)
22 BRAMHALL ST, DIVISION OF NEONATOLOGY
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Pathology (Anatomic Pathology & Clinical Pathology)
22 BRAMHALL ST
PORTLAND, ME 04102
Family Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Emergency Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Pediatrics
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174225163, enumerated as an "individual" on March 21, 2023.

The provider is located at 22 BRAMHALL ST PORTLAND, ME 04102 and the phone number is (207) 662-0111.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.