JANE KRISTINE VAILLANCOURT (PA-C) – Surgical Physician Assistant, NPI 1710924600
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for JANE KRISTINE VAILLANCOURT (PA-C)
92 CAMPUS DR STE A
SCARBOROUGH, ME 040747229
Phone: (207) 885-0011
Fax: (207) 885-5851
Type: Mailing
46 MOOSE TRAIL
CORNISH, ME 04020
Phone: (207) 653-9895
Fax: (207) 396-8632
Type: Mailing
MAINE MEDICAL CENTER
22 BRAMHALL ST.
PORTLAND, ME 04102
Phone: (207) 885-0011
Fax: (207) 885-4467
Type: Location
Maine Medical Center
22 Bramhall St.
Portland, ME 04102
Phone: (207) 885-0011
Fax: (207) 885-4467
Type: Location
Route 1, Oak Hill, Cumberland County, Maine, 04074, United States
SCARBOROUGH, ME 040749701
Phone: (207) 396-8600
Fax: (207) 396-8632
Type: Mailing
49, Spring Street, Eight Corners, Cumberland County, Maine, 04074, United States
1ST FLOOR
SCARBOROUGH, ME 040748926
Phone: (207) 885-0011
Fax: (207) 885-4467
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: 2004-07-02
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 |
|---|---|---|---|---|
| I20040702000425 | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 26 | 21 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 15 | 15 | $0 |
Insurance plans in this area (ZIP 04074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME |
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