JESSAMY HATHAWAY PA
NPI 1467187187
Physician Assistant in South Portland, ME

Q: What is Jessamy Hathaway's NPI number?

The NPI number for Jessamy Hathaway is 1467187187. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Jessamy Hathaway's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessamy Hathaway was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment

265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106(207) 661-0200(207) 661-0299 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Jun 2, 2023, Jul 18, 2022 (3 updates tracked since 2022).

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About Jessamy Hathaway Pa NPPES

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

JESSAMY HATHAWAY PA (NPI 1467187187) is an individual physician assistant in South Portland, Maine, licensed in Maine (PA2528) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Bethel.

NPPES Registry Identity

NPI1467187187

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSAMY HATHAWAYCredential: PA

Location Address265 WESTERN AVE STE 2South Portland, ME 04106-2458

Mailing Address265 Western Ave Ste 2South Portland, ME 04106-2458 · (207) 661-0200 · Fax (207) 661-0299

Phone(207) 661-0200

Fax(207) 661-0299

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 18, 2022

Last NPPES UpdateMay 12, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1467187187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA2528

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

265 WESTERN AVE STE 2, South Portland, ME 04106

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Secondary Practice Location 1

Location 132 Railroad StBethel, ME 04217-3819 · Phone (207) 824-2193

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

Jessamy Hathaway Pa 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 ID3173982576

PECOS Enrollment IDI20230703001555

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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201315

Location181 Main StreetNorway, ME 04268 · Oxford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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.

PAMELA EGAN M.D.

Internal Medicine (Hematology & Oncology)