Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Michael Fonseca, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1881589596

Jason Michael Fonseca, ACNPC-AG is a Nurse Practitioner in Bangor, Maine. Qualified in 2024, 2 years ago. Practices with St Joseph Hospital, a 196-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2025
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Practice location Address checks out

360 Broadway
Bangor, ME 04401-3979
Phone: (207) 907-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP251067 (ME)

Record details

NPI number1881589596
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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