JACOB ELIE
NPI 1306624374
Nurse Practitioner - Psychiatric/Mental Health in Lewiston, ME

Active since September 20, 2023PECOS EnrolledAccepts Medicare Assignment
100 CAMPUS AVE # 208, LEWISTON, ME 04240(207) 777-8974 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Elie NPPES

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

JACOB ELIE (NPI 1306624374) is an individual psychiatric/mental health provider in Lewiston, Maine, licensed in Maine (CNP231382) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306624374
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB ELIE
Location Address100 CAMPUS AVE # 208Lewiston, ME 04240-6040
Mailing Address111 Back Cove DrTurner, ME 04282-3836 · (207) 577-8765
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1306624374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ME · CNP231382
100 CAMPUS AVE # 208, Lewiston, ME 04240

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

Jacob Elie 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 ID2365885563
PECOS Enrollment IDI20240205002130
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

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacob Elie's NPI number?

The NPI number for Jacob Elie is 1306624374. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Jacob Elie located?

Jacob Elie practices at 100 Campus Ave # 208, Lewiston, ME 04240. The listed phone number is (207) 777-8974.

What is Jacob Elie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Elie enrolled in Medicare?

Yes. Jacob Elie 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 Jacob Elie affiliated with any hospitals?

According to CMS data, Jacob Elie is affiliated with St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Elie was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.