IndividualActive
Meredith Jackson, M.D.
NPI 1174917439 · Pediatrics Physician · Portland, ME
Provider details
- NPI number
- 1174917439
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD21911 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 Bramhall St
Portland, ME 04102
Phone: (207) 662-0111
Street-level locationGet directions
Mailing address
22 Bramhall St Ste 4809
Portland, ME 04102-3134
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2019-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.