Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508825357 Individual Practitioner Male Practitioner

Randy D Jackson , PA-C

Physician Assistant • Millinocket, ME

Professional Overview & Biography Verified Profile Summary

Randy Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant in Millinocket, ME. Practice services are available at 200 SOMERSET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Somerset St
Suite 2

Millinocket, ME 044621258

Telephone 2077235173
Fax 2077233040
Associated Practice Facility / Clinic
🏢 Millinocket Regional Hospital Facility NPI 1265443196

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Millinocket, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Millinocket, ME (992 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA-028

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
1508825357 (ME)
Commercial Insurance / Payer ID Anthem
079032 (ME)
Commercial Insurance / Payer ID Ngs
201855 (ME)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1043288525

Doctor of Osteopathic Medicine (D.O.)

Dr. Pundalik Pai , MD

Internal Medicine

NPI 1144253121

Doctor of Medicine (M.D.)

NPI 1164628277

Doctor of Medicine (M.D.)

NPI 1427248962

Doctor of Medicine (M.D.)

Rose Ann Hunt , NP

Nurse Practitioner - Adult Health

NPI 1871562918

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2013

Registered at 200 SOMERSET ST, SUITE 2, MILLINOCKET, ME 044621258 (Tel: 2077235173)

📍
Updated Business Mailing Address February 11, 2013

Registered at 200 SOMERSET ST, MILLINOCKET, ME 044621258 (Tel: 2077235173)

👤
Provider Name / Credentials Updated February 11, 2013

Recorded as RANDY JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2013

Physician Assistant (License #PA-028 in ME)

🟢
Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Randy Jackson. Be the first to share your experience!

Sign in to leave a review for Randy Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508825357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: February 11, 2013
Sole Proprietor: No

Mailing Address

200 Somerset St

Millinocket, ME 044621258

Phone: 2077235173

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.