JENNIFER ANN AVERILL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548050792

JENNIFER ANN AVERILL (PMHNP) is a healthcare provider. based in Rockport, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. CNP251238 (ME). The NPI Number for JENNIFER ANN AVERILL (PMHNP) is 1548050792

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN AVERILL (PMHNP)
NPI
1548050792
Phone
(207) 921-8632
Address
6 Glen Cove Dr
Enumeration Date
10 May 2025
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075633782
Graduation Year
2024 (2 years ago)
PAC ID
5597284760
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20250521002609
Address ID
ME045434067DA5XXXXWAYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for JENNIFER ANN AVERILL (PMHNP)

  • 6 Glen Cove Dr

    Rockport, ME 048564272

    Phone: (207) 921-8632

    Fax: (207) 921-5316

    Type: Location

  • 24 MILES CENTER WAY

    DAMARISCOTTA, ME 045434067

    Phone: (844) 292-0111

    Fax: (207) 563-7272

    Type: Mailing

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: 2025-05-21

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
I20250521002609INurse PractitionerMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04856)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER ANN AVERILL (PMHNP) by NPI?
Use NPI 1548050792 when you need to reference JENNIFER ANN AVERILL (PMHNP) in forms, claims, or directories.
Is JENNIFER ANN AVERILL (PMHNP)'s NPI currently valid?
The extract we use shows JENNIFER ANN AVERILL (PMHNP) as active.
What field does JENNIFER ANN AVERILL (PMHNP) work in?
You can think of JENNIFER ANN AVERILL (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER ANN AVERILL (PMHNP)?
We surface Rockport, Maine for JENNIFER ANN AVERILL (PMHNP) based on available NPPES addresses.
What if Rockport, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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