Provider Type Icon

JENNIFER LEE EILTS-MCKENNEY NP RN LCPC NPI 1780729954


NPI Information

NPI: 1780729954
Provider Name: JENNIFER LEE EILTS-MCKENNEY, NP, RN, LCPC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MAINEHEALTH

PECOS Registration: Yes

Address:
165 LANCASTER ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-1030
Get Directions

Jennifer Lee Eilts-mckenney, NP, RN, LCPC is a psychiatric/mental health nurse practitioner in Portland, ME with 10 years of experience. Jennifer Lee Eilts-mckenney, NP, RN, LCPC NPI is 1780729954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

165 LANCASTER ST
PORTLAND, ME
ZIP 04101-406
Phone: (207) 874-1030
Fax: (207) 874-1044

The NPI 1780729954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 2/21/2007 and was last updated on 3/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalCC2410MAINENo
2163W00000XRegistered NurseRN59388MAINENo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP141074MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E400172593MEDICARE PINMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.