Active NPI
Zachary Mitchell Greenier, PA
- Physician Assistant
- Bangor, ME
National Provider Identifier
1104160498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1375
- Practice address
- 900 Broadway
Bangor, ME 04401-1900 - Phone
- (207) 907-3300
- Fax
- (207) 907-1923
- NPI assigned
- Nov 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1375 | ME | Primary |
Addresses
Primary practice location
900 Broadway
Bangor, ME 04401-1900
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zgreenier740089@direct-prd.goodhelpconnections.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130318000444 | ME | Practitioner - Physician Assistant | 3779728928 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Joseph Hospital
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3777
Hospital & facility affiliations
- Centerwell Home Health
- St Joseph Homecare
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Northern Light Maine Coast Hospital
- Northern Light Mayo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1375 | ME | MD | Physician Assistant |
Interoperability endpoints
- zgreenier1151599@direct.bsmhealth.org
Organizations & group practices 1
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1972503365
-
- Home Health Agency
- Bangor, ME
- NPI 1982638771
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1104160498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
"address_2": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8560",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044011900",
"telephone_number": "207-907-3300",
"fax_number": "207-907-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENIER",
"first_name": "ZACHARY",
"middle_name": "MITCHELL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zgreenier740089@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "900 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044011900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.