Individual Healthcare Provider
Jaclyn Kimberly Foraker, FNP-C
Provider's NPPES record last updated: February 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073139465
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Bangor, Maine
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:08 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Nurse Practitioner
Occupational Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LX0106X
Provider-Reported License Information
- Nurse Practitioner (Maine)
- CNP201144
- Nurse Practitioner (Maine)
- CNP201144
Practice Locations
Practice Location
360 Broadway
Bangor, Maine 04401-3979
Phone: (207) 907-1155
Additional Practice Location
19 North St
Presque Isle, Maine 04769-2240
Phone: (207) 768-4568
Fax: (207) 764-6459
Additional Practice Location
10 Washington St
Waterville, Maine 04901-4315
Phone: (207) 861-5731
Fax: (207) 275-4897
Additional Practice Location
195 Fore River Pkwy
Portland, Maine 04102-2780
Phone: (207) 879-3466
Fax: (207) 879-3066
Additional Practice Location
885 Union St Ste 215
Bangor, Maine 04401-3092
Phone: (207) 973-7380
Additional Practice Location
125 Main St
Pittsfield, Maine 04967-4364
Phone: (207) 487-3726
Additional Practice Location
32 Resort Way
Ellsworth, Maine 04605-1717
Phone: (844) 975-4584
Additional Practice Location
360 Broadway
Bangor, Maine 04401-3979
Phone: (207) 907-1155
Fax: (207) 907-1888
Record Information
- Enumeration Date
- June 22, 2020
- Provider's NPPES Record Last Updated
- February 21, 2022
- Certification Date
- October 4, 2021
- NPISignal NPPES Dataset
- August 2026
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