JASON DOBROVOLNY PMHNP-BC
NPI 1427619691
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME
About Jason Dobrovolny Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON DOBROVOLNY PMHNP-BC (NPI 1427619691) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (CNP191161) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jason Dobrovolny Pmhnp-bc 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.
Medicare Billing Reassignments
15Medicare enrollment records show Jason Dobrovolny reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 348 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 2 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Orono, ME 04473
- Reassigned Medicare billing, Maine enrollment
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 174 clinicians in this Medicare group
Blue Hill, ME 04614
- Reassigned Medicare billing, Maine enrollment
- 125 clinicians in this Medicare group
Pittsfield, ME 04967
- Reassigned Medicare billing, Maine enrollment
- 140 clinicians in this Medicare group
Dover Foxcroft, ME 04426
- Reassigned Medicare billing, Maine enrollment
- 146 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Greenville, ME 04441
- Reassigned Medicare billing, Maine enrollment
- 105 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician 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.
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.
BANGOR, ME 04401
BANGOR, ME 04401
BANGOR, ME 04401
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 Jason Dobrovolny's NPI number?
The NPI number for Jason Dobrovolny is 1427619691. It was assigned to this individual provider in the NPPES registry on June 27, 2019.
Where is Jason Dobrovolny located?
Jason Dobrovolny practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.
What is Jason Dobrovolny's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jason Dobrovolny enrolled in Medicare?
Yes. Jason Dobrovolny 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.
Which organizations bill Medicare for Jason Dobrovolny's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Dobrovolny reassigns Medicare benefits to 15 organizations: Acadia Hospital Corp (Bangor, ME), Greater Love Counseling LLC (Bangor, ME), Eastern Maine Medical Center (Bangor, ME), Katahdin Behavioral Health LLC (Orono, ME), Maine Coast Regional Health Facilities (Ellsworth, ME) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Dobrovolny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Dobrovolny accept?
Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Harvard Pilgrim Health Care and Oscar Health Maintenance Organization of Florida and 2 other insurers list Jason Dobrovolny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jason Dobrovolny affiliated with any hospitals?
According to CMS data, Jason Dobrovolny is affiliated with Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Jason Dobrovolny was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jason Dobrovolny, PMHNP-BC · NPI 1427619691
Psychiatric/Mental Health physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1427619691 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CNP191161 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 268 STILLWATER AVE, Bangor, ME 04401-3945
- **Phone:** (207) 973-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Acadia Hospital Corp (NPI 1215940523, Bangor, ME); Greater Love Counseling LLC (NPI 1003664509, Bangor, ME); Eastern Maine Medical Center (NPI 1790789147, Bangor, ME); Katahdin Behavioral Health LLC (NPI 1912860487, Orono, ME); Maine Coast Regional Health Facilities (NPI 1447204763, Ellsworth, ME); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1427619691) · Data from the CMS NPPES public registry.