JACOB PATRICK LEIDHOLM CNP
NPI 1922765197
Nurse Practitioner - Acute Care in Portland, ME

Q: What is Jacob Leidholm's NPI number?

The NPI number for Jacob Leidholm is 1922765197. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Q: What is Jacob Leidholm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Leidholm was last updated on February 24, 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.

Active since November 23, 2021PECOS EnrolledAccepts Medicare Assignment

79.27/100

CMS Quality Rating

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618(207) 662-6254 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Nov 23, 2021 (2 updates tracked since 2021).

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About Jacob Patrick Leidholm Cnp NPPES

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

JACOB PATRICK LEIDHOLM CNP (NPI 1922765197) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP231268) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922765197

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJACOB PATRICK LEIDHOLMCredential: CNP

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4618 · Fax (207) 662-6254

Phone(207) 662-4618

Fax(207) 662-6254

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 23, 2021

Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1922765197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in ME · CNP231268✔ Licensed in MA · RN2361554

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2361554 (MA)

22 BRAMHALL ST, Portland, ME 04102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Jacob Patrick Leidholm Cnp 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 ID7517351570

PECOS Enrollment IDI20230822000798

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

125 services67 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

12 services11 patients

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Quality

73.72

Promoting Interoperability

Improvement Activities

Cost

60.51

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.

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Physician Assistant (Medical)