JEYASHREE M BOARDWAY (PAC) – Physician Assistant, NPI 1417441544
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
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Provider Addresses for JEYASHREE M BOARDWAY (PAC)
Mayo Regional Hospital, 897, West Main Street, Dover-Foxcroft, Piscataquis County, Maine, 04426, United States
DOVER FOXCROFT, ME 044261029
Phone: (207) 564-4476
Fax: (207) 564-4492
Type: Mailing
492, Main Street, East Corinth, Penobscot County, Maine, 04427, United States
CORINTH, ME 044273273
Phone: (207) 285-3435
Fax: (207) 564-1284
Type: Location
PO BOX 1599
BANGOR, ME 044021599
Phone: (207) 404-8200
Fax: (207) 947-0435
Type: Mailing
181 CORPORATE DR
BANGOR, ME 044014314
Phone: (207) 992-2636
Fax: (207) 992-2637
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: 2018-07-25
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 |
|---|---|---|---|---|
| I20180725001721 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 58 | 46 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 48 | 38 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 41 | 33 | $0 |
| 83036 | Hemoglobin a1c level | 38 | 27 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 33 | 23 | $0 |
Insurance plans in this area (ZIP 04426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Mental Health Counselor | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Physician Assistant | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME |
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