Crystal Annis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2718 Issued in ME

Practice address

23 North St Ste 4
Presque Isle, ME 04769-2295

Phone

(207) 764-3142

Fax

(207) 760-8170

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Aroostook Medical Center 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• The Aroostook Medical Center

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999

  ME

  Medicare reassignment Care Compare group NPD (past)
• The Aroostook Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Presque Isle, ME
  • NPI 1255791026
  Care Compare group
• The Aroostook Medical Center

  • Rehabilitation Hospital
  • Presque Isle, ME
  • NPI 1265551212
  Care Compare group
• The Aroostook Medical Center

  • Skilled Nursing Facility
  • Mars Hill, ME
  • NPI 1396864336
  Care Compare group
• The Aroostook Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Presque Isle, ME
  • NPI 1982723037
  Care Compare group

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

• The Aroostook Medical Center

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1114600459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARRIER WOOD RD APT 21",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747182",
            "telephone_number": "207-214-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST STE 4",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692295",
            "telephone_number": "207-764-3142",
            "fax_number": "207-760-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNIS",
        "first_name": "CRYSTAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D. Alexander, MD
• Elizabeth Anne Allen, FNP
• Mary M Allen, FNP
• Shannon I Ambrutis, MHRT-1
• Judy Ann Anderson, MSW
• Holly Arato, M.D.
• Aroostook Agency on Aging
• Aroostook Apothecary LLC
• Aroostook Apothecary LLC
• Aroostook County Action Program

• All providers in Presque Isle, ME
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.