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MR. JACOB W SOUCY PA-S
NPI 1891359295
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since May 01, 2019PECOS Enrolled
79.27/100
CMS Quality Rating
716 STEVENS AVE, PORTLAND, ME 04103(297) 283-0171 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jacob W Soucy Pa-s NPPES

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

MR. JACOB W SOUCY PA-S (NPI 1891359295) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891359295
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACOB W SOUCYCredential: PA-S
Location Address716 STEVENS AVEPortland, ME 04103-2693
Mailing Address716 Stevens AvePortland, ME 04103-2693 · (297) 283-0171
Phone(297) 283-0171
Sole ProprietorNo
Enumeration DateMay 1, 2019
✔ NPI 1891359295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
716 STEVENS AVE, Portland, ME 04103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob W Soucy Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

PIPER NOELLA DESORCIE
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
KASSIDY ANN COLLINS
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529
DR. ALBERT GALLEMIT ABENA D.D.S.
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4687
ALIYAH ROSE MURPHY
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
JULIA CARTFORD
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
JESSICA KELLY
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
STEPHANIE MONIZ
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
CYNTHIA CRYSTAL TANG
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 602-2329

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 Soucy's NPI number?

The NPI number for Jacob Soucy is 1891359295. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Jacob Soucy located?

Jacob Soucy practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (297) 283-0171.

What is Jacob Soucy's specialty?

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

Is Jacob Soucy enrolled in Medicare?

Yes. Jacob Soucy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Soucy was last updated on May 1, 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.