Individual provider Active NPI

Antonina Planson

  • Family Nurse Practitioner
  • Winthrop, ME
National Provider Identifier
1043922610
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221567 Issued in ME
Practice address
16 Commerce PLZ
Winthrop, ME 04364-1498
Phone
(207) 624-3800
Fax
(207) 624-3845
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP221567 ME Primary

Addresses

Primary practice location

16 Commerce PLZ
Winthrop, ME 04364-1498

Mailing address

16 Commerce PLZ
Winthrop, ME 04364-1498
Phone (207) 624-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20230105002587 ME Practitioner - Nurse Practitioner 0840660916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Gray Urgent Care LLCGroup PAC ID 0446647747, 7 clinicians

Practice addresses (Care Compare)

6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone (207) 657-1165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Jan 3, 2023 Accepting new patients
Gray Urgent Care LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Jan 3, 2023 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients

Locations

6 Turnpike Acres Rd
Gray, ME 04039
Phone (207) 657-1165

6 Turnpike Acres Rd
#2
Gray, ME 04039
Phone (207) 251-1177

149 North St
Waterville, ME 04901
Phone (207) 622-1959

16 Commerce Plz
Winthrop, ME 04364
Phone (207) 377-2114

Interoperability endpoints

  • Direct secure messaging: antonina.planson.1@26504.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26504/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1043922610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COMMERCE PLZ",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043641498",
            "telephone_number": "207-624-3800",
            "fax_number": "207-624-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COMMERCE PLZ",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043641498",
            "telephone_number": "207-624-3800",
            "fax_number": "207-624-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANSON",
        "first_name": "ANTONINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, ME

Sources for this page

Verify at the official NPI Registry.