MR. JEREMY JAMES LIBBY (FNP-C) – Family Nurse Practitioner, NPI 1609269315
Family 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. JEREMY JAMES LIBBY (FNP-C)
69 YORK ST STE 4
KENNEBUNK, ME 040437186
Phone: (207) 467-3088
Fax: (207) 371-6311
Type: Location
211 Marginal Way
Portland, ME 041012467
Phone: (207) 544-9355
Type: Location
15 VINCENT AVE
BIDDEFORD, ME 040053611
Phone: (207) 632-7809
Type: Mailing
10 GOODALL DR
EAST WATERBORO, ME 040305214
Phone: (207) 490-7760
Type: Location
211 MARGINAL WAY
PORTLAND, ME 041012467
Phone: (207) 544-9355
Type: Location
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH, NH 038017105
Phone: (603) 410-6700
Fax: (603) 319-8308
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: 2015-06-01
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 |
|---|---|---|---|---|
| I20150601002335 | 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 | 54 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 04043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | ME | |
| Nurse Practitioner | MA | |
| Family Practice | NH | |
| - | NH | |
| - | NH | |
| Nurse Practitioner | NH | |
| Physician Assistant | VT | |
| Physician Assistant | NH | |
| Physician Assistant | NH |
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