JESSICA ESTHER RADWAY PA-C
NPI 1194020891
Specialist in Portland, ME

Active since January 11, 2011PECOS EnrolledAccepts Medicare Assignment
51 SEWALL ST STE 1, PORTLAND, ME 04102(207) 774-5761(207) 874-7478 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2018, Sep 18, 2018 (2 updates tracked since 2018).

About Jessica Esther Radway Pa-c NPPES

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

JESSICA ESTHER RADWAY PA-C (NPI 1194020891) is an individual specialist in Portland, Maine, licensed in Maine (PA1564) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Sherwood.

NPPES Registry Identity

NPI1194020891
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA ESTHER RADWAYCredential: PA-C
Location Address51 SEWALL ST STE 1Portland, ME 04102
Mailing Address51 Sewall St Ste 1Portland, ME 04102-2697 · (207) 774-5761 · Fax (207) 874-7478
Fax(207) 874-7478
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 11, 2011
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
NPI 1194020891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in ME · PA1564
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA161551 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License N/A
51 SEWALL ST STE 1, Portland, ME 04102

Secondary Practice Location 1

Location 116770 SW Edy RdSherwood, OR 97140-9678 · Phone (503) 216-9600

Accepted Insurance

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

Jessica Esther Radway Pa-c 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 ID7214173350
PECOS Enrollment IDI20220930002454
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.

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
51 SEWALL ST STE 1
PORTLAND, ME 04102
Specialist
51 SEWALL ST STE 1
PORTLAND, ME 04102
Nurse Practitioner (Family)
51 SEWALL ST STE 1
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194020891, enumerated as an "individual" on January 11, 2011.

The provider is located at 51 SEWALL ST STE 1 PORTLAND, ME 04102 and the phone number is (207) 774-5761.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Jessica Radway is affiliated with: MAINE MEDICAL CENTER, BRIDGTON HOSPITAL and MEMORIAL HOSPITAL, THE.