Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Randy D Jackson, PA-C

Physician Assistant in Millinocket, ME · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508825357

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Registry record

Entity type Individual (Type 1)

Name Randy D Jackson

Credential PA-C

Sex Male

Practice address 200 Somerset St, Suite 2, Millinocket, ME, 04462

Phone (207) 723-5173

Fax (207) 723-3040

Enumeration date Mar 21, 2006

Last updated in NPPES Feb 11, 2013

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-028 (ME) Primary

Other identifiers

Identifier	Type	State	Issuer
079032	Other	ME	ANTHEM
201855	Other	ME	NGS
1508825357	Medicaid	ME	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Randy Jackson practice?

The practice location on file with NPPES is in Millinocket, ME. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Randy Jackson?

The National Provider Identifier (NPI) for Randy Jackson is 1508825357, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-11.