Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Pristupa

Individual provider Physician Assistant · NPI 1013856608

Jake Pristupa is a Physician Assistant in Bangor, Maine. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

55 Broadway Ste 2
Bangor, ME 04401-5201
Phone: (207) 947-0496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013856608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address515 S Center St Apt 4, Grove City, PA 16127-1305

Other providers in Bangor