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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELYN ANN MAKSUT ACNP
NPI 1699561514
Nurse Practitioner - Acute Care in Portland, ME

Active since April 17, 2025PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 661-3580(207) 662-3419 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, Aug 6, 2025, Jun 21, 2025 (3 updates tracked since 2025).

About Jacquelyn Ann Maksut Acnp NPPES

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

JACQUELYN ANN MAKSUT ACNP (NPI 1699561514) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP251298) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699561514
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACQUELYN ANN MAKSUTCredential: ACNP
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 661-3580 · Fax (207) 662-3419
Phone(207) 661-3580
Fax(207) 662-3419
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 17, 2025
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1699561514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ME · CNP251298
Also ListedRegistered NurseTaxonomy 163W00000X · License RN67840 (ME)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License CNP251298 (ME)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP251298 (ME)
22 BRAMHALL ST, Portland, ME 04102
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Other Names 1

Former Name (1)Jacquelyn Ann Nocella Acnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Ann Maksut Acnp 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.

PECOS PAC ID8729587191
PECOS Enrollment IDI20250814002251
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

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 Jacquelyn Maksut's NPI number?

The NPI number for Jacquelyn Maksut is 1699561514. It was assigned to this individual provider in the NPPES registry on April 17, 2025. The provider is also known as Jacquelyn Ann Nocella Acnp.

Where is Jacquelyn Maksut located?

Jacquelyn Maksut practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 661-3580.

What is Jacquelyn Maksut's specialty?

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

Is Jacquelyn Maksut enrolled in Medicare?

Yes. Jacquelyn Maksut 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.

Is Jacquelyn Maksut affiliated with any hospitals?

According to CMS data, Jacquelyn Maksut is affiliated with Maine Medical Center, Mid Coast Hospital, St Mary's Regional Medical Center, Maine General Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Jacquelyn Maksut was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.