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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: October 18, 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 and is a graduate of Other (1975).

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
Medical School CMSOtherGraduated 1975
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
Open in Google Maps ↗

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, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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).

PECOS PAC ID1456815703
PECOS Enrollment IDI20260708003735
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Libby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Mary's Regional Medical Center
Same address
General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
NPI 1447226584 (207) 777-8100

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 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.

Which organization bills Medicare for Jonathan Libby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Libby reassigns Medicare benefits to St. Mary's Regional Medical Center (Lewiston, 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 Jonathan Libby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Libby accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.