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JORDAN KELLY SOUNTIS AGACNP
NPI 1356141410
Nurse Practitioner - Acute Care in Portland, ME

Active since March 18, 2025PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jordan Kelly Sountis Agacnp NPPES

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

JORDAN KELLY SOUNTIS AGACNP (NPI 1356141410) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP251144) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356141410
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJORDAN KELLY SOUNTISCredential: AGACNP
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2414 · Fax (207) 662-6038
Phone(207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 18, 2025
Last NPPES UpdateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1356141410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ME · CNP251144
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP251144 (ME)
22 BRAMHALL ST, Portland, ME 04102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Kelly Sountis Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Jordan Sountis's NPI number?

The NPI number for Jordan Sountis is 1356141410. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jordan Sountis located?

Jordan Sountis practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Jordan Sountis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jordan Sountis enrolled in Medicare?

Yes. Jordan Sountis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Sountis was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.