JESSE KNOWLTON – Certified Registered Nurse Anesthetist, NPI 1083073480

JESSE KNOWLTON is a healthcare provider. based in Lewiston, Maine. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RNA173051 (ME). The NPI Number for JESSE KNOWLTON is 1083073480

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSE KNOWLTON
NPI
1083073480
Phone
(207) 777-8560
Address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
Enumeration Date
15 February 2016
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079071770
Graduation Year
2017 (9 years ago)
PAC ID
4981965357
Group Practice PAC ID
6406766336
Professional Enrollment ID
I20180227001367
Address ID
ME044013979BA360XXBROA200

Contacts

Secure Messaging
jknowlton740095@direct-prd.goodhelpconnections.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

533 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ME

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Provider Addresses for JESSE KNOWLTON

  • C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT

    PO BOX 7291

    LEWISTON, ME 042437291

    Phone: (207) 777-8560

    Fax: (207) 777-8800

    Type: Mailing

  • Saint Joseph Hospital, 360, Broadway, Bangor, Penobscot County, Maine, 04402, United States

    BANGOR, ME 044013900

    Phone: (207) 907-1430

    Fax: (207) 907-3508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-02-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180227001367ICertified Registered Nurse Anesthetist (Crna)METBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope5252$0
00812Anesthesia for exam of colon using an endoscope2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 04243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406766336View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Internal MedicineME
Family PracticeME
G A S T R O E N T E R O L O G YME
Internal MedicineME
G A S T R O E N T E R O L O G YME
Physician AssistantME
Pulmonary Disease, Critical Care (Intensivists)ME
Orthopedic SurgeryNY
-ME

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Frequently asked questions

Is JESSE KNOWLTON listed with a National Provider Identifier?
Yes — JESSE KNOWLTON has NPI 1083073480 on file in the registry.
Is there an active status for JESSE KNOWLTON?
For scheduling context, JESSE KNOWLTON is shown as active in the registry.
What kind of doctor is JESSE KNOWLTON?
JESSE KNOWLTON is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSE KNOWLTON?
Travel planning: use Lewiston, Maine as the reference point for JESSE KNOWLTON, then confirm.
When was this NPI issued?
Enumeration for JESSE KNOWLTON is noted as February 15, 2016 where the registry provides it.

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