- Practice location
- 360 Broadway, Bangor, ME 04401-3979
- Phone
- 207-907-1000
- Fax
- —
- Last updated
- June 11, 2025
Jason Michael Fonseca is a Nurse Practitioner, Acute Care based in Bangor, ME. Jason Michael Fonseca practices in Bangor, ME and has the professional credentials of ACNPC-AG. The NPI Number for Jason Michael Fonseca is 1881589596 and holds a License No. CNP251067 (ME). The current practice location address for Jason Michael Fonseca is 360 Broadway, Bangor, ME 04401-3979 and can be reached out via phone at 207-907-1000.
Provider Profile Details
- NPI Number
- 1881589596
- Provider Name
- Jason Michael Fonseca
- Credential
- ACNPC-AG
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 Broadway, Bangor, ME 04401-3979
- Phone Number
- 207-907-1000
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2025
- Last Update Date
- June 11, 2025
- Certification Date
- May 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Broadway
Bangor, ME 04401-3979 - City
- Bangor
- State
- Maine
- Zip
- 04401-3979
- Phone Number
- 207-907-1000
Provider Business Mailing Address Details
- Address
- 23 Riverview RD
Hampden, ME 04444-1727 - City
- Hampden
- State
- ME
- Zip
- 04444-1727
- Phone Number
- 207-949-3070
License Information
- License Number
- CNP251067
- License State
- ME
- Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Acute Care providers near Bangor, ME
View all Nurse Practitioner, Acute Care providers in Bangor →- Amber D Sargent, AGACNP-BCNurse Practitioner, Acute Care · NPI 1194589176
- Amber L Murphy, AGAC-NPNurse Practitioner, Acute Care · NPI 1740990563
- Charlotte E Doody, ACNP-CNPNurse Practitioner, Acute Care · NPI 1972356095
- Danielle Vafiades, ACNPNurse Practitioner, Acute Care · NPI 1114279833
- Drew WinninghamNurse Practitioner, Acute Care · NPI 1881459998
- Gabriel W Susen, AGACNPNurse Practitioner, Acute Care · NPI 1942091178
Frequently Asked Questions
What is the NPI number of Jason M Fonseca, ACNPC-AG?
The NPI number of Jason M Fonseca, ACNPC-AG is 1881589596. It was assigned on June 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Jason M Fonseca, ACNPC-AG?
Jason M Fonseca, ACNPC-AG is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in ME under license number CNP251067.
Where does Jason M Fonseca, ACNPC-AG practice?
The practice location is 360 Broadway, Bangor, ME 04401-3979. The office can be reached at 207-907-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881589596 directly on the NPPES registry website.