Individual provider Active NPI

Emily Rheaume, PA-C

  • Medical Physician Assistant
  • Plainville, CT
National Provider Identifier
1033658364
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3779 Issued in CT
Practice address
240 East St
Plainville, CT 06062-2990
Phone
(860) 747-4541
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3779 CT
Medical Physician Assistant 363AM0700X 3779 CT Primary

Addresses

Primary practice location

240 East St
Plainville, CT 06062-2990

Mailing address

240 East St
Plainville, CT 06062-2990

Other names 1

  • Emily Rheaume Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628003133 NH Practitioner - Physician Assistant 4981980356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

410 Miracle Mile
Lebanon, NH 03766-2639
Phone (603) 276-3260

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3779CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd, PLLC CurrentSince Jun 18, 2024 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Hagedorn Assoc PC PastSince Apr 25, 2021 Accepting new patients

Locations

10 Ferry St
Ste 302
Concord, NH 03301

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1033658364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622990",
            "telephone_number": "860-747-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAUME",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3779",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RHEAUME",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.