JEFFREY GAGNON PA
NPI 1811137888
Physician Assistant - Surgical in Waterville, ME

Active since March 03, 2009PECOS EnrolledAccepts Medicare Assignment
180 KENNEDY MEMORIAL DR, SUITE 101, WATERVILLE, ME 04901(207) 861-7874(207) 861-4646 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Gagnon Pa NPPES

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

JEFFREY GAGNON PA (NPI 1811137888) is an individual surgical provider in Waterville, Maine, licensed in Maine (PA001156) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Yale University School Of Medicine (2008).

NPPES Registry Identity

NPI1811137888
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEFFREY GAGNONCredential: PA
Location Address180 KENNEDY MEMORIAL DR, SUITE 101Waterville, ME 04901-4540
Mailing Address180 Kennedy Memorial Dr, Suite 101Waterville, ME 04901-4540 · (207) 861-7874 · Fax (207) 861-4646
Fax(207) 861-4646
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2008
Enumeration DateMarch 3, 2009
NPI 1811137888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in ME · PA001156
180 KENNEDY MEMORIAL DR, Waterville, ME 04901

Other Identifiers 1

OtherPA001156ME · State License #

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

Jeffrey Gagnon 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 ID9739228545
PECOS Enrollment IDI20091207000644
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.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

Dietitian, Registered
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Internal Medicine
180 KENNEDY MEMORIAL DR, SUITE 202
WATERVILLE, ME 04901
Nurse Practitioner
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Psychiatry & Neurology (Clinical Neurophysiology)
180 KENNEDY MEMORIAL DR, SUITE 203
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901

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 Jeffrey Gagnon's NPI number?

The NPI number for Jeffrey Gagnon is 1811137888. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Where is Jeffrey Gagnon located?

Jeffrey Gagnon practices at 180 Kennedy Memorial Dr Suite 101, Waterville, ME 04901. The listed phone number is (207) 861-7874.

What is Jeffrey Gagnon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeffrey Gagnon enrolled in Medicare?

Yes. Jeffrey Gagnon 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 Jeffrey Gagnon affiliated with any hospitals?

According to CMS data, Jeffrey Gagnon is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Gagnon was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.