Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Renee Dusseault, PA-C

Individual provider Physician Assistant · NPI 1972013613

Jill Renee Dusseault, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2017, 9 years ago. Practices with Berkshire Faculty Services Inc, a 275-clinician group and accepts Medicare assignment. Licensed in Maine and New Hampshire.

Years since qualifying
9
Licensed in
ME, NH
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-2413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2350 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 1311 (NH)

Record details

NPI number1972013613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Berkshire Faculty Services Inc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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