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Jacob Nicholas Budke , PA-C

Physician Assistant β€’ Lewiston, ME

Active NPI 1194564591 Individual Practitioner Male Practitioner
Practice location in NPPES

330 Sabattus St
Lewiston, ME 042405553

Call 2077778810 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

330 Sabattus St

Lewiston, ME 042405553

Telephone 2077778810
Organization at the Same NPPES Address or Phone
Community Clinical Services, Inc. Facility NPI 1023475134

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jacob Budke as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lewiston and Maine

38 active clinicians are listed under Physician Assistant with a practice address in Lewiston, ME (979 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lewiston

5.3% of these 38 clinicians have the CMS telehealth indicator.

63.2% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Sarah Adams , NP

Nurse Practitioner - Family

NPI 1891933677

Nurse Practitioner

Nan Boucher , ANP

Nurse Practitioner - Gerontology

NPI 1033157227

Adult Nurse Practitioner

Dr. Jeffrey Brown , MD

Internal Medicine

NPI 1942237490

Doctor of Medicine (M.D.)

NPI 1053632901

Doctor of Medicine (M.D.)

Marissa Tardif , FNP

Nurse Practitioner - Family

NPI 1821635020

Family Nurse Practitioner

Dawn Trani-Fallon , APN

Nurse Practitioner - Adult Health

NPI 1659494250

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 04, 2026

Registered at 330 SABATTUS ST, LEWISTON, ME 042405553 (Tel: 2077778810)

πŸ‘€
Provider Name / Credentials Updated June 04, 2026

Recorded as JACOB BUDKE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2026

Physician Assistant

βœ…
NPI Profile Active May 23, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2024

Registered at 3576 COMMONWEALTH RD, WOODBURY, MN 551254379 (Tel: 6512769169)

πŸ“
Business Mailing Address (Initial Record) May 23, 2024

Registered at 3576 COMMONWEALTH RD, WOODBURY, MN 551254379 (Tel: 6512769169)

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2024

Recorded as JACOB BUDKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 23, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194564591
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2024
Last Update: June 04, 2026
Sole Proprietor: No

Other Physician Assistants in Lewiston

All Physician Assistants in Lewiston

Mailing Address

3576 Commonwealth Rd

Woodbury, MN 551254379

Phone: 6512769169

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.