Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Elie

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306624374

Jacob Elie is a Nurse Practitioner in Lewiston, Maine. Qualified in 2023, 3 years ago. Practices with Community Clinical Services Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2023
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Practice location Address checks out

100 Campus Ave # 208
Lewiston, ME 04240-6040
Phone: (207) 777-8974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP231382 (ME)

Record details

NPI number1306624374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address111 Back Cove Dr, Turner, ME 04282-3836

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Clinical Services Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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