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

Jesse Knowlton

Individual provider Certified Registered Nurse Anesthetist · NPI 1083073480

Jesse Knowlton is a Certified Registered Nurse Anesthetist (CRNA) in Bangor, Maine. Qualified in 2017, 9 years ago. Practices with St Joseph Hospital, a 196-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2016

Practice location Address checks out

360 Broadway
Bangor, ME 04401-3900
Phone: (207) 907-1430
Fax: (207) 907-3508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA173051 (ME)

Record details

NPI number1083073480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2016
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing addressC/O St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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