MRS. KRISTI LYNN JACKSON FNP-C - NPI 1730937137 - Nurse Practitioner in Sanford, ME

Q: 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.

Q: What is Kristi Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristi Jackson was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

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

NPI1730937137

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KRISTI LYNN JACKSONCredential: FNP-C

Location Address25A JUNE ST STE 111Sanford, ME 04073-2642

Mailing Address25a June St Ste 111Sanford, ME 04073-2642 · (207) 490-7998 · Fax (207) 490-7999

Phone(207) 490-7998

Sole ProprietorNo

Enumeration DateMay 9, 2024

Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1730937137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ME · CNP241162

25A JUNE ST STE 111, Sanford, ME 04073

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13 Shape DrKennebunk, ME 04043-6601 · Phone (207) 467-8930 · Fax (207) 985-8459

Location 225A June St Ste 113Sanford, ME 04073-2642 · Phone (207) 490-7334 · Fax (207) 490-7364

Location 39 Healthcare Dr Ste 208Biddeford, ME 04005-9450 · Phone (207) 282-7531 · Fax (207) 294-3555

Medicare Participation & PECOS CMS

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

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).

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 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.

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES PAKMAN LCSW

Social Worker (Clinical)