Individual provider Active NPI

Halie Nicole Harris, PA-C

  • Physician Assistant
  • Calais, ME
National Provider Identifier
1134775141
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
24 Hospital LN
Calais, ME 04619-1329
Phone
(207) 454-7521
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

24 Hospital LN
Calais, ME 04619-1329

Mailing address

24 Hospital LN
Calais, ME 04619-1329

Other practice location 1

543 Broadway
Bangor, ME 04401-3337
Phone (207) 922-1300

Other practice location 2

915 Union St Ste 4
Bangor, ME 04401-8603
Phone (207) 973-8030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010002359 ME Practitioner - Physician Assistant 6204167919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calais Community HospitalGroup PAC ID 0345649158, 7 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-7521

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Calais Community Hospital Hospital, Calais, ME, CCN 201305
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

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
Eastern Maine Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Calais Community Hospital CurrentSince Oct 15, 2023 Accepting new patients

Locations

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

915 Union St
Ste 4
Bangor, ME 04401
Phone (207) 973-8030

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

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 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1134775141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013337",
            "country_code": "US",
            "telephone_number": "207-922-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Union St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044018603",
            "country_code": "US",
            "telephone_number": "207-973-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HALIE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.