NPIMap

Individual provider Active NPI

Erin R Griffin

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1104438944
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5621 Woodshire Dr Apt 5
Fort Wayne, IN 46835-2959
Phone
(770) 891-3949
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5621 Woodshire Dr Apt 5
Fort Wayne, IN 46835-2959

Mailing address

5621 Woodshire Dr Apt 5
Fort Wayne, IN 46835-2959
Phone (770) 891-3949

Other practice location 1

20 Hartford St
Houlton, ME 04730-1859
Phone (207) 532-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210924001598 GA Practitioner - Physician Assistant 7517364144 Reassigns benefits to 4 organizations
I20240812000787 ME Practitioner - Physician Assistant 7517364144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
York HospitalGroup PAC ID 6406766781, shared by 2 NPIs, 202 clinicians
Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians

Practice addresses (Care Compare)

114 Sanford Rd
Myhealth Wells
Wells, ME 04090-5533
Phone (207) 646-5211

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

Hospital & facility affiliations

  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313
  • York Hospital Hospital, York, ME, CCN 200020

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Dec 1, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Dec 1, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 8, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 4, 2024 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Houlton Regional Hospital Past Accepting new patients

Locations

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

489 State St
Bangor, ME 04401
Phone (207) 973-8837

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Organizations & group practices 11

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 4

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1104438944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 WOODSHIRE DR APT 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352959",
            "telephone_number": "770-891-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 WOODSHIRE DR APT 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352959",
            "telephone_number": "770-891-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hartford St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047301859",
            "country_code": "US",
            "telephone_number": "207-532-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ERIN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.