Randy Jackson, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: March 21, 2006

Quick Facts

NPI Number
1508825357
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(207) 723-5173
StateME

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1508825357)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (March 21, 2006)
Data source: CMS NPPES

Provider Overview

RANDY JACKSON, PA-C is a Physician Assistant provider based in Millinocket, ME who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1508825357
Provider TypeIndividual Provider
GenderMale
CredentialPA-C
StatusActive
Enumeration DateMarch 21, 2006

Practice Location

CityMillinocket
StateME
ZIP Code04462-1258
Phone(207) 723-5173

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateME

Mailing Address

CityMillinocket
StateME
ZIP Code04462-1258
Phone(207) 723-5173
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1508825357 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1508825357for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1508825357 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →
📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Randy Jackson's NPI number?
Randy Jackson's NPI number is 1508825357, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randy Jackson's NPI currently active?
Yes, Randy Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Randy Jackson specialize in?
Randy Jackson specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Randy Jackson practice?
Randy Jackson practices in Millinocket, ME 04462-1258.
When was Randy Jackson's NPI issued?
Randy Jackson's NPI was issued on March 21, 2006.
What is Randy Jackson's provider type?
Randy Jackson is registered as an Individual Provider under CMS NPI Type 1.