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DR. JONATHAN LIBBY DNP, APRN, CPNP
NPI 1558324772
Nurse Practitioner - Pediatrics in Lewiston, ME

Active since April 10, 2006PECOS Enrolled
100 CAMPUS AVE APT 203, LEWISTON, ME 04240(207) 755-3160(207) 755-3166 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Libby Dnp, Aprn, Cpnp NPPES

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

DR. JONATHAN LIBBY DNP, APRN, CPNP (NPI 1558324772) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (041889) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558324772
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameDR. JONATHAN LIBBYCredential: DNP, APRN, CPNP
Location Address100 CAMPUS AVE APT 203Lewiston, ME 04240-6079
Mailing AddressPo Box 10187Albany, NY 12201-5187 · (207) 777-4111 · Fax (207) 783-6660
Phone(207) 755-3160
Fax(207) 755-3166
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJune 3, 2015
✔ NPI 1558324772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ME · 041889
100 CAMPUS AVE APT 203, Lewiston, ME 04240
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Other Identifiers 1

Medicaid245420099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Libby Dnp, Aprn, Cpnp 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 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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 Jonathan Libby's NPI number?

The NPI number for Jonathan Libby is 1558324772. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Jonathan Libby located?

Jonathan Libby practices at 100 Campus Ave Apt 203, Lewiston, ME 04240. The listed phone number is (207) 755-3160.

What is Jonathan Libby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jonathan Libby enrolled in Medicare?

Yes. Jonathan Libby is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Libby accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathan Libby 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 Jonathan Libby was last updated on June 3, 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.