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

Jessica Nelson Reade Johnson, RN

Individual provider Nurse Practitioner · NPI 1164137493

Jessica Nelson Reade Johnson, RN is a Nurse Practitioner in Portland, Maine. Qualified in 2022, 4 years ago. Practices with Intermed PA, a 185-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

84 Marginal Way Ste 700
Portland, ME 04101-2481
Phone: (207) 774-5816
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP221661 (ME)

Record details

NPI number1164137493
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portland