MR. JED D JANKOWSKI PA
NPI 1063793305
Physician Assistant in Bridgton, ME

Q: What is Jed Jankowski's NPI number?

The NPI number for Jed Jankowski is 1063793305. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Q: What is Jed Jankowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: Is Jed Jankowski enrolled in Medicare?

No. Jed Jankowski has opted out of Medicare through July 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jed Jankowski was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2011Opted out of Medicare · through Jul 9, 2028

10 HOSPITAL DR, BRIDGTON, ME 04009(207) 647-6000 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Mr. Jed D Jankowski Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JED D JANKOWSKI PA (NPI 1063793305) is an individual physician assistant in Bridgton, Maine, licensed in Maine (PA1286) and active in the NPI registry since August 2011. He has opted out of Medicare through July 9, 2028.

NPPES Registry Identity

NPI1063793305

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JED D JANKOWSKICredential: PA

Location Address10 HOSPITAL DRBridgton, ME 04009-1148

Mailing Address10 Hospital DrBridgton, ME 04009-1148 · (207) 647-6000

Phone(207) 647-6000

Sole ProprietorNo

Enumeration DateAugust 31, 2011

Last NPPES UpdateJanuary 15, 2015

✔ NPI 1063793305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA1286

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10 HOSPITAL DR, Bridgton, ME 04009

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jed D Jankowski Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 9, 2024 through July 9, 2028.

Opt-Out Effective DateJuly 9, 2024

Opt-Out In Effect ThroughJuly 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE M. AREY PT

Physical Therapist