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Active NPI 1558324772 Individual Practitioner Male Practitioner

Dr. Jonathan Libby , DNP, APRN, CPNP

Nurse Practitioner - Pediatrics • Lewiston, ME

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Libby, DNP, APRN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Lewiston, ME. Practice services are available at 100 CAMPUS AVE APT 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Campus Ave Apt 203

Lewiston, ME 042406079

Telephone 2077553160
Fax 2077553166
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Lewiston, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Lewiston, ME (75 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License ME 041889

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
245420099 (ME)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Stephanie Mellen , FNP

Nurse Practitioner - Family

NPI 1679989222

Family Nurse Practitioner

Donna Isherwood , FNP

Nurse Practitioner - Family

NPI 1962743633

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2015

Registered at 100 CAMPUS AVE APT 203, LEWISTON, ME 042406079 (Tel: 2077553160)

📍
Updated Business Mailing Address June 03, 2015

Registered at PO BOX 10187, ALBANY, NY 122015187 (Tel: 2077774111)

👤
Provider Name / Credentials Updated June 03, 2015

Recorded as JONATHAN LIBBY, DNP, APRN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Nurse Practitioner (License #041889 in ME)

🟢
Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558324772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: June 03, 2015
Sole Proprietor: No

Mailing Address

Po Box 10187

Albany, NY 122015187

Phone: 2077774111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.