Individual provider Active NPI

Tori N Thoreson, PA

  • Medical Physician Assistant
  • Patten, ME
National Provider Identifier
1063719375
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1309 Issued in ME
Practice address
30 Houlton St
Patten, ME 04765-3035
Phone
(207) 528-2285
Fax
(207) 528-2595
NPI assigned
Feb 22, 2011
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1309 ME Primary

Addresses

Primary practice location

30 Houlton St
Patten, ME 04765-3035

Mailing address

PO Box 500
Patten, ME 04765-0500
Phone (207) 528-2285

Other identifiers 1

IdentifierTypeStateIssuer
PA1309OtherMELICENSE

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
I20120222001013 ME Practitioner - Physician Assistant 8426216367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Access Network IncGroup PAC ID 2769393180, 24 clinicians
Katahdin Valley Health CenterGroup PAC ID 4880659903, shared by 13 NPIs, 66 clinicians

Practice addresses (Care Compare)

175 W Broadway
Lincoln, ME 04457-4000
Phone (207) 794-6700

30 Houlton St
Patten, ME 04765-3035
Phone (207) 528-2285

PO Box
Suite 99
Lincoln, ME 04457

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1309MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Health Access Network, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Katahdin Valley Health Center Past Accepting new patients
Health Access Network, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD/Endpoint/DBFIBD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1063719375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650500",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOULTON ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653035",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "TORI",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA1309",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patten, ME

Sources for this page

Verify at the official NPI Registry.