MR. JAMIE LEE THERIAULT (APRN) – Nurse Practitioner, NPI 1063996809
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 NURSE PRACTITIONER in ME
Provider Addresses for MR. JAMIE LEE THERIAULT (APRN)
15 Rock Row Ste 110
Westbrook, ME 040924877
Phone: (207) 303-3300
Type: Location
100 CAMPUS DR UNIT 108
SCARBOROUGH, ME 040747172
Phone: (207) 303-3300
Fax: (207) 250-2139
Type: Location
2 Independence Dr
Kennebunk, ME 040436078
Phone: (207) 303-3300
Fax: (207) 250-2144
Type: Location
105 Topsham Fair Mall Rd Unit 1
Topsham, ME 040861773
Phone: (207) 303-3300
Fax: (207) 250-2137
Type: Location
PO BOX 911
BRATTLEBORO, VT 053020911
Phone: (207) 303-3200
Fax: (207) 250-2140
Type: Mailing
11 ROCK ROW STE 120
WESTBROOK, ME 040924877
Phone: (207) 303-3300
Fax: (207) 250-2139
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $369.
Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Incyte Corporation ($127).
Total Amount
$369
General + Research + Ownership
Payments
13
Total payment records
General Amount
$369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $127 |
| Takeda Pharmaceuticals U.S.A., Inc. | $60 |
| Amgen Inc. | $40 |
| GlaxoSmithKline, LLC. | $36 |
| EMD Serono, Inc. | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190122000718 | I | Nurse Practitioner | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 63 | 56 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 61 | 57 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 56 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 33 | $0 |
Insurance plans in this area (ZIP 04092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care | ME | |
| Hematology/Oncology, Internal Medicine | ME | |
| Clinical Social Worker | ME | |
| Nurse Practitioner | VT | |
| Internal Medicine | ME | |
| Nurse Practitioner | ME | |
| Radiation Oncology | ME | |
| H E M A T O L O G Y/ O N C O L O G Y | ME | |
| Internal Medicine, Hematology/Oncology | ME | |
| Hematology/Oncology, Internal Medicine | ME |
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