Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912965880 Individual Practitioner Female Practitioner

Lori K Jackson , PA

Physician Assistant • Lewiston, ME

Professional Overview & Biography Verified Profile Summary

Lori Jackson, PA is a registered healthcare professional specializing in Physician Assistant in Lewiston, ME. Practice services are available at 300 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Main St

Lewiston, ME 042407027

Telephone 2077950111
Fax 2077952766
Associated Practice Facility / Clinic
🏢 Great Falls Pathology, P.a. Facility NPI 1427034461

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lewiston, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Lewiston, ME (992 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
98 94 $87.00 $65.42
99213 Established patient office or other outpatient visit, typically 15 minutes
92 80 $58.00 $42.39
17000 Destruction of skin growth
50 37 $76.00 $42.66
17110 Destruction of up to 14 skin growths
34 21 $95.00 $56.24
17003 Destruction of precancer skin growth, 2-14 growths
26 15 $11.00 $2.00
11104 Punch biopsy, first skin growth
25 25 $76.00 $38.96
99202 New patient office or other outpatient visit, typically 20 minutes
14 14 $60.00 $41.92

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA852

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1912965880 (ME)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Angela Wood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003145053

Certified Registered Nurse Anesthetist

Dana Mccoy , PT

Physical Therapist

NPI 1003273806

Physical Therapist

Dr. Asha Mohamud , MD

Internal Medicine

NPI 1003493081

Doctor of Medicine (M.D.)

Glenda Kribel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003920802

Certified Registered Nurse Anesthetist

Dr. Nancy Asamoa , MD

Internal Medicine

NPI 1023135639

Doctor of Medicine (M.D.)

Dr. Stephanie Boggs , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1023148509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2016

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

📍
Updated Business Mailing Address June 03, 2016

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

👤
Provider Name / Credentials Updated June 03, 2016

Recorded as LORI JACKSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Physician Assistant (License #PA852 in ME)

🟢
Initial NPI Registration & Enumeration May 02, 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: 1912965880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2006
Last Update: June 03, 2016
Sole Proprietor: No

Mailing Address

300 Main St

Lewiston, ME 042407027

Phone: 2077950111

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.