Individual provider Active NPI

Laura E Jackson, FNP-C

  • Family Nurse Practitioner
  • Norway, ME
National Provider Identifier
1013764448
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP241211 Issued in ME
Practice address
8 Pikes HL
Norway, ME 04268-5340
Phone
(207) 744-6444
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP241211 ME Primary

Addresses

Primary practice location

8 Pikes HL
Norway, ME 04268-5340

Mailing address

125 Bradbury Hill Rd
Minot, ME 04258-4250

Other names 1

  • Laura E Ostrout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001963 ME Practitioner - Nurse Practitioner 8729522024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

139 Main St
Suite 2
Norway, ME 04268-5637
Phone (207) 743-9229

181 Main St
Norway, ME 04268-5664
Phone (207) 743-5933

193 Main St
Norway, ME 04268-5645

193 Main St
Suite 9
Norway, ME 04268-5647
Phone (207) 743-8766

Hospital & facility affiliations

  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jun 4, 2024 Accepting new patients
Mainehealth CurrentSince Jun 4, 2024 Accepting new patients
Mainehealth Current Accepting new patients

Locations

8 Pikes Hl
Norway, ME 04268
Phone (207) 743-9292

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: ljackson239613@direct.mmc.mainehealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1013764448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BRADBURY HILL RD",
            "city": "MINOT",
            "state": "ME",
            "postal_code": "042584250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PIKES HL",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685340",
            "telephone_number": "207-744-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "OSTROUT",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

Verify at the official NPI Registry.