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

Jessamy Hathaway, PA

Individual provider Physician Assistant · NPI 1467187187

Jessamy Hathaway, PA is a Physician Assistant in South Portland, Maine. Qualified in 2023, 3 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

265 Western Ave Ste 2
South Portland, ME 04106-2458
Phone: (207) 661-0200
Fax: (207) 661-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 Railroad St, Bethel, ME 04217-3819 — (207) 824-2193

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2528 (ME)

Record details

NPI number1467187187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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