MRS. KRISTI LYNN JACKSON FNP-C
NPI 1730937137
Nurse Practitioner - Family in Sanford, ME
About Mrs. Kristi Lynn Jackson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTI LYNN JACKSON FNP-C (NPI 1730937137) is an individual family provider in Sanford, Maine, licensed in Maine (CNP241162) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kristi Lynn Jackson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristi Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- 3,140 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 04073 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANFORD, ME 04073
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 Kristi Jackson's NPI number?
The NPI number for Kristi Jackson is 1730937137. It was assigned to this individual provider in the NPPES registry on May 9, 2024.
Where is Kristi Jackson located?
Kristi Jackson practices at 25A June St Ste 111, Sanford, ME 04073. The listed phone number is (207) 490-7998.
What is Kristi Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristi Jackson enrolled in Medicare?
Yes. Kristi Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristi Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Jackson reassigns Medicare benefits to Mainehealth (Biddeford, 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 Kristi Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristi Jackson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Kristi Lynn Jackson, FNP-C · NPI 1730937137
Family physician in Sanford, Maine. Individual provider, active in the CMS NPPES registry since May 9, 2024.
## Identity
- **NPI:** 1730937137 (Entity type: Individual)
- **Enumerated:** May 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP241162 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 25A JUNE ST STE 111, Sanford, ME 04073-2642
- **Phone:** (207) 490-7998
## 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:** Mainehealth (NPI 1215417019, Biddeford, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730937137) · Data from the CMS NPPES public registry.