Individual provider Active NPI

Alyssa Nicole Thomas, DO

  • Family Medicine Physician
  • Standish, ME
National Provider Identifier
1104493345
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3862 Issued in ME
Practice address
111 Ossipee TRL E Ste 1153
Standish, ME 04084-6421
Phone
(207) 661-4850
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3862 ME Primary

Addresses

Primary practice location

111 Ossipee TRL E Ste 1153
Standish, ME 04084-6421

Mailing address

111 Ossipee TRL E Ste 1153
Standish, ME 04084-6421
Phone (207) 661-4850

Other practice location 1

582 Roosevelt Trl
Windham, ME 04062-4904
Phone (207) 892-3233

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904003556 ME Practitioner - Family Practice 8123428208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

111 Ossipee TRL E
Suite 1153
Standish, ME 04084-6421
Phone (207) 661-4850

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Centerwell Home Health Home health agency, South Portland, ME, CCN 207038
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3862MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 3, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Family Medicine CurrentSince Sep 3, 2024 Accepting new patients
Mainehealth Family Medicine Past Accepting new patients

Locations

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

111 Ossipee Trl E
Ste 1153
Standish, ME 04084
Phone (207) 661-4850

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

582 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3233

Interoperability endpoints

  • Direct secure messaging: athomas348056@direct.mmc.mainehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1104493345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSSIPEE TRL E STE 1153",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846421",
            "telephone_number": "207-661-4850",
            "fax_number": "207-810-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSSIPEE TRL E STE 1153",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846421",
            "telephone_number": "207-661-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Roosevelt Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624904",
            "country_code": "US",
            "telephone_number": "207-892-3233",
            "fax_number": "207-810-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, ME

Sources for this page

Verify at the official NPI Registry.