MRS. JACLYN KIMBERLY FORAKER FNP-C
NPI 1073139465
Nurse Practitioner - Family in Bangor, ME
About Mrs. Jaclyn Kimberly Foraker Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACLYN KIMBERLY FORAKER FNP-C (NPI 1073139465) is an individual family provider in Bangor, Maine, licensed in Maine (CNP201144) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jaclyn Kimberly Foraker Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Foraker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MENorthern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaclyn Foraker's NPI number?
The NPI number for Jaclyn Foraker is 1073139465. It was assigned to this individual provider in the NPPES registry on June 22, 2020.
Where is Jaclyn Foraker located?
Jaclyn Foraker practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1155.
What is Jaclyn Foraker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Foraker enrolled in Medicare?
Yes. Jaclyn Foraker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jaclyn Foraker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Foraker reassigns Medicare benefits to St. Joseph Hospital (Bangor, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Foraker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Foraker accept?
Health plans from Anthem Blue Cross and Blue Shield list Jaclyn Foraker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jaclyn Foraker affiliated with any hospitals?
According to CMS data, Jaclyn Foraker is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Jaclyn Foraker was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Jaclyn Kimberly Foraker, FNP-C · NPI 1073139465
Family physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since June 22, 2020.
## Identity
- **NPI:** 1073139465 (Entity type: Individual)
- **Enumerated:** June 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP201144 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 BROADWAY, Bangor, ME 04401-3979
- **Phone:** (207) 907-1155 · **Fax:** (207) 907-1888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Joseph Hospital (NPI 1154321545, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073139465) · Data from the CMS NPPES public registry.