NPIMap

Individual provider Active NPI

Patrick Oliver Mitchell, M.D., PH.D.

  • Hospitalist Physician
  • Fort Kent, ME
National Provider Identifier
1093134306
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD21585 Issued in ME
Practice address
194 E Main St
Fort Kent, ME 04743-1428
Phone
(207) 834-3155
Fax
(207) 834-1665
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD21585 ME
Hospitalist Physician 208M00000X MD21585 ME Primary

Addresses

Primary practice location

194 E Main St
Fort Kent, ME 04743-1428

Mailing address

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Other practice location 1

6 Glen Cove Dr
Rockport, ME 04856-4273
Phone (207) 921-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810002747 ME Practitioner - Hospitalist 6507137460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Hospital & facility affiliations

  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Northern Maine Medical Center Nursing home, CCN 20Z317

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD21585MEMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Penobscot Bay Physicians & Associates CurrentSince Aug 1, 2017 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 19, 2022 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 19, 2022 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients
Northern Maine Medical Center Past Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

4 Glen Cove Dr
Ste 5
Rockport, ME 04856
Phone (207) 592-5883

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

Interoperability endpoints

  • Direct secure messaging: pmitchell178958@direct.mmc.mainehealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1093134306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-3155",
            "fax_number": "207-834-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-3155",
            "fax_number": "207-834-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564273",
            "country_code": "US",
            "telephone_number": "207-921-8000",
            "fax_number": "207-921-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PATRICK",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "MD21585",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD21585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.