Foraker Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

FORAKER WELLNESS

Practice address

309 S Main St
Brewer, ME 04412-2231

Phone

(207) 735-5851

NPI assigned

Apr 13, 2026

Last updated

Jul 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jaclyn Kimberly Foraker, FNP-CNPI 1073139465

Title

Owner

Phone

(207) 735-5851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Kimberly Foraker, FNP-C

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1073139465
  NPD Authorized official

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1700729076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KENNEBEC RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443110",
            "telephone_number": "207-735-5851",
            "fax_number": "949-883-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122231",
            "telephone_number": "207-735-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORAKER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "FORAKER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-735-5851",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Gerard Fennessy, MD
• Carey L Fister, D.M.D.
• Erika Lee Fitzpatrick, OD
• Danielle K Fogg, NP
• Renee Folnsbee, LMT, BS
• Allen J Fortin, LD
• Deeanne Fowlie, RN
• Megan Fraser, NUTRITIONIST
• Sarah J Fryberger, MD
• Brandon Fuller

• Nurse Practitioner in Brewer, ME
• Providers in Brewer, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.