Individual provider Active NPI

Nneka Asiamigbe, MMS, PA-C

  • Physician Assistant
  • Patten, ME
National Provider Identifier
1134522063
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2568 Issued in ME
Practice address
529 S Patten Rd
Patten, ME 04765-3007
Phone
(207) 538-3700
Fax
(855) 849-8457
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108090 FL
Physician Assistant 363A00000X PA2014-0081 NM
Physician Assistant 363A00000X PA61220081 WA
Physician Assistant 363A00000X PA2568 ME Primary

Addresses

Primary practice location

529 S Patten Rd
Patten, ME 04765-3007

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700

Other identifiers 1

IdentifierTypeStateIssuer
2200836MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150212001573 NM Practitioner - Physician Assistant 9436474533 Reassigns benefits to 6 organizations
I20211101001019 WA Practitioner - Physician Assistant 9436474533 Reassigns benefits to 3 organizations
I20231214002633 ME Practitioner - Physician Assistant 9436474533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9108090FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Oct 26, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 18, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 20, 2020 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 18, 2019 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Oct 26, 2021 Accepting new patients
Southeastern Plains Emergency Physicians, LLC Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
New Mexico Em-1 Medical Services, P.C. Past Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1134522063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "855-849-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "855-849-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIAMIGBE",
        "first_name": "NNEKA",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108090",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2014-0081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61220081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patten, ME

Sources for this page

Verify at the official NPI Registry.