JESSICA LARSON MD
NPI 1871295196
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Jessica Larson Md NPPES

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

JESSICA LARSON MD (NPI 1871295196) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of University Of Utah School Of Medicine (2023).

NPPES Registry Identity

NPI1871295196
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA LARSONCredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-0111
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1871295196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD30395 (ME)
22 BRAMHALL ST, Portland, ME 04102

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

Jessica Larson Md 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 ID6204296098
PECOS Enrollment IDI20260813002714
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
14 MAINE ST STE 306
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine enrollment
  • 170 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.

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

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.

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102

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 Jessica Larson's NPI number?

The NPI number for Jessica Larson is 1871295196. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jessica Larson located?

Jessica Larson practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Jessica Larson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Larson enrolled in Medicare?

Yes. Jessica Larson 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 organization bills Medicare for Jessica Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Larson reassigns Medicare benefits to Bluewater Emergency Partners Of Brunswick, LLC (Brunswick, ME). The 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 Jessica Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Larson affiliated with any hospitals?

According to CMS data, Jessica Larson is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Larson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.