JACLYN ISRAEL I DO
NPI 1154904712
Family Medicine in Norridgewock, ME
About Jaclyn Israel I Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN ISRAEL I DO (NPI 1154904712) is an individual family medicine provider in Norridgewock, Maine, licensed in Maine (DO3457) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn Israel I Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jaclyn Israel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Skowhegan, ME 04976
- Reassigned Medicare billing, Maine enrollment
- 124 clinicians in this Medicare group
Manchester, ME 04351
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Dixfield, ME 04224
- Reassigned Medicare billing, Maine enrollment
- 77 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Israel's NPI number?
The NPI number for Jaclyn Israel is 1154904712. It was assigned to this individual provider in the NPPES registry on May 3, 2021.
Where is Jaclyn Israel located?
Jaclyn Israel practices at 87 Mercer Rd, Norridgewock, ME 04957. The listed phone number is (207) 634-4366.
What is Jaclyn Israel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jaclyn Israel enrolled in Medicare?
Yes. Jaclyn Israel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jaclyn Israel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Israel reassigns Medicare benefits to 4 organizations: Redington-Fairview General Hospital (Skowhegan, ME), Central Maine Medical Center (Manchester, ME), Rumford Community Family Health Center, Inc. (Dixfield, ME) and Rumford Hospital (Rumford, ME). Each 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 Israel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Israel accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jaclyn Israel 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.
When was this NPI record last updated?
The NPPES record for Jaclyn Israel was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jaclyn Israel I, DO · NPI 1154904712
Family Medicine physician in Norridgewock, Maine. Individual provider, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1154904712 (Entity type: Individual)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO3457 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 87 MERCER RD, Norridgewock, ME 04957-3168
- **Phone:** (207) 634-4366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Redington-Fairview General Hospital (NPI 1174549133, Skowhegan, ME); Central Maine Medical Center (NPI 1598411175, Manchester, ME); Rumford Community Family Health Center, Inc. (NPI 1902841083, Dixfield, ME); Rumford Hospital (NPI 1205991122, Rumford, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154904712) · Data from the CMS NPPES public registry.